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` ^ WATER SAMPLE FIELD DATA SHEET Rev 1/97 <br /> r ' <br /> PROJECT NO -7 S `III 'D 0-1- SAMPLE ID - ' <br /> As PURGED BY C.&bvd CLIENT NAME <br /> OMIT SAMPLED BY LOCATION <br /> TYPE Groundwater Surface Water Leachate Other <br /> CASING DIAMETER (inches) 2 3 4 45 6 Other <br /> CASING ELEVATION (feet/MSL) VOLUME IN CASING (gal) 3 <br /> DEPTH OF WELL(feet) q N . CALCULATED PURGE (gal) <br /> DEPTH OF WATER (feet) Z2 01 ACTUAL PURGE VOL (gal) <br /> DATE PURGED END PURGE <br /> DATE SAMPLED SAMPLING TIME r 7 `12, <br /> TIME VOLUME pH EC TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal) (units) (umhosrcm@25'c) ("F) (visual) (visual) <br /> 1 30 7 0 �- �r S I ZG��- y. <br /> • OTHER ODOR d j► <br /> (co r <br /> 0-100) t o-2oa} <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL ( I a FB-1, XDUP-1) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bader(Teflon) 2"Bladder Pump —4;��rftder(Teflon) <br /> Centrifugal PumpBader(PVC) Bpmb Sampler Bader(Stainless Steel) <br /> uomersiole Pump Bader(Stainless Steel) Dipper Submersmie Pump <br /> Well Wizard"' Dedicated Well Wizard*`" Dedicated <br /> Other Other <br /> WELL INTEGRITYLOCK <br /> REMARKSLe��,�" j .L,7t- .,._ <br /> PH EC —emp Meter Calibration Date { r,W i Time Meter Senai No <br /> E C 1000 ! pH 7 / pH 10 1 pH 4 <br /> . Temperarure 'F <br /> vJlr .. .\CVICvvCU by <br /> ir, nr,ni��r <br /> rwr.rr��r.r <br />