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ER SAMPLE FIELD DA A SHEET" <br /> PROJECT NO Z Z-(4r Z 3 � SAMPLE ID <br /> PURGED BY CLIENT NAME <br /> O YY`�.T SAMPLED BY LOCATION <br /> TYPE Groundwater Surface Water Leachate Other <br /> CASING DIAMETER(inches) 2 3 4__,16 45 b Other <br /> CASING ELEVATION(feet/MSL) VOLUME IN CASING(gal.) L <br /> DEPTH OF WELL(feet) `} CALCULATED PURGE(gal ) <br /> DEPTH TO WATER(feet) ACTUAL PURGE VOL.(gal) C.c DATEPURGED Zrr �' END PURGE �� L <br /> DATE SAMPLED SAMPLING TIME (n5- <br /> TIME VOLUME pH E-C TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal) (umts) (Pmhoslcm@25°0 (OF) <br /> _ OV <br /> �_ -2,-1,,0 (visual) (nswi) <br /> Lr < t <br /> 1�t 53 <br /> OTHER ODOR S <br /> (COBALT 0-1 (1dTU 0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(t e FB-I.XDUP-1) <br /> PURGING EQUIPMENT SAMPLING FOUIPMFNT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump Baler(Teflon) <br /> Centrifugal Pump Baler(PVC) Bomb Sampler Ba=ler(Stainless Steel) <br /> ��"Lsubmerstble Pump Baler(Stainless Steel) Dipper /"Submersible Pump <br /> Well WtzardO Dedicated Wen Wszardd Dedicated <br /> Other- Other: <br /> WELL INTEGRITY LOCK c-)?6s� <br /> REMARKS <br /> pH EC Temp Meter Calibration Dau u rp}� Time Z L S Meter Serval No <br /> F—C 1000 DDI pH 7 7>6 ! pH l0 5y / ��.Da pH 4 3 ! <br /> Ternpera =°F I } f� <br /> SIGNATURE REVIEWED BY PACE �OF I <br />