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WATER SAMPLE FIELD DATA SHEET Rev 1192 <br /> PROJECT NO 00-M' D30'@ I SAMPLE ID S' + Cs-4t) <br /> ASSOCIATItS F�11CON PURGED BY tE��GL✓� CLIENT NAME. Z!{0-o <br /> SAMPLED BY LOCATION Gtr <br /> TYPE Ground Water , Surface Water Leachate Other <br /> CASING DIAMETER (Inches) 2 3 4 `'f 4 5 6 Other <br /> CASING ELEVATION(feet/MSL) VOLUME IN CASING (gal) <br /> DEPTH OF WELL (feet) S4- U CALCULATED PURGE (gal.) Z U <br /> DEPTH TO WATER (feet) S ACTUAL PURGE VOL (gal ) <br /> DATE PURGED 2 End Purge [W u <br /> DATE SAMPLED Sampling Time <br /> TIME VOLUME pH EC TEMPERATURE COLOR TURBIDITY <br /> - �!(. 00��Hr) , (uni } (li ��25•Cy {° } ( suaLf02"t) (visuaVNTU) <br /> 11. t �. 2530 -7(9-u <br /> LWLL -7 <br /> OTHER ODOR <br /> Ir �-t <br /> 1�CDBALT 0-100) (NTU 0-200) <br /> FIELD CC SAMPLES COLLECTED AT THIS WELL (i a F13-1, X-DUP-1) <br /> PURGING EQUIPMENT 5AMPLING MUIP ENT <br /> 2'Bladder Pump Bailer(Teflon®) 2'Bladder Pump Bader(Teflono) <br /> Centrifugal Pump i Bailer(PVC) Bomb Sampler Bailer)Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well WizardTM Dedicated Well Wizards Dedicated <br /> Other Other <br /> WELL INTEGRITY J `� QG LOCK# �Z <br /> REMARKS <br /> pH E C,Temp Meter Calibration Date Time Meter Serial No <br /> E C 1000 4 pH 7 pH 10 !_" pH 4 <br /> Temperature °F <br /> Signature: Reviewed By: Page of <br />