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WATER SAMPLE FIELD DATA SHEET Rev. 119 <br /> PROJECT NO: 70 Z c>r✓-7 SAMPLE ID : t- <br /> PURGED BY : ` CLIENT NAME: <br /> OWT SAMPLED BY : - LOCATION : S <br /> TYPE: Groundwater Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 ✓ 3 4 4.5 5 Other <br /> CASING ELEVATION(feet/MSL): VOLUME IN CASING(gal.): to) � r <br /> DEPTH OF WELL(feet):_ ` `''(S� `� CALCULATED PURGE(gal.): `Z <br /> DEPTH TO WATER(feet): 4 Li, 3 Lf ACTUAL PURGE VOL. (gal.) : 2.. CS <br /> DATE PURGED. -%s ! G leo END PURGE: f S k v <br /> DATE SAMPLED: SAMPLING TIME: <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TU'RBIDTTY <br /> (2400 HR) (gal.) (units) (Nmhos/crn@25°0 ("F) (visual) ivisual) <br /> OTHER: � a / _. ODOR: ✓/ <br /> (COBALT 0-loo) {`' Ini 0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL( i.e.FB-l.XDUP-1): <br /> eURQIN_rj EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump ®/Bailer(Teflon i <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainiess Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wirard6 Dediewed Weil Wizard6 Dedicated <br /> Other. Other. <br /> WELL INTEGRITY: ��� CC4Si-y LOCK: 'SZ� <br /> REMARKS- <br /> - ��- - �t.✓�Q. . _ +� �-?-� ..� <br /> pH.E.C..Temp.Meter Calibration: Date:C�^j rum: Meter Serial No.: <br /> • F.C. 1004 ( pH 7 f pH 10 f pH 4 ! <br /> Tempetttrwe OF <br /> SIGNATURE REVIEWED BY:t PAGE� OF__�2 ` <br />