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• WATER SAMPLE FIELD DATA SHEET Rev. I <br /> PROJECT NO: Zo —OC:0— C-0? SAMPLE ID : + ---� <br /> • PURGED BY : n S CLIENT NAME. <br /> O YY 1 SAMPLED BY : -__ lu LOCATION: <br /> TYPE: Groundwater L_ Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 3 4 Z/ 4.5 6 Other <br /> CASING ELEVATION(feet/MSL): VOLUME IN CASING(gal.): C 1 ' <br /> DEPTH OF WELL(feet): �,Q CALCULATED PURGE(gal.): <br /> (�_�• <br /> DEPTH TO WATER(feet): sj Li -!j ACTUAL PURGE VOL.(gal.) : <br /> DATE PURGED: Il-7I el cil END PURGE: L(a L <br /> DATE SAMPLED:_ �tj _ _ SAMPLING TIME: ( 1 <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR -FLRSIDrrY <br /> (2400 HR) (gal.) fumts) (Nmhos/cm@25`c) ("F) ivtsual) fvisualt <br /> 1,?e 77, 17 1211 Lk <br /> OTHER: ODOR• Aok4f <br /> (COBALT 0-100) (h 0-200) <br /> FIELD QC SAMPLES COLLECTED ATTHIS WELL( i.e.FB-I,XDUP-1): / <br /> PURGING E011.1EMEN'T SAMPLING EQUIPMENT <br /> 2'Bladder Pump Bailer(Teflon) 2'Bladder Pump &_�Bailer[Teflon t <br /> Centnfurr:a Pump Bailer(PVC) Bomb Sampler Bailer(SEwrniess Steel) <br /> Submersible Pump Bailer(stainless steel) Dipper Submersible Pump <br /> Well WizudO Dedicated Weil Wizard6 Dedicated <br /> Other: Other. <br /> WELL INTEGRITY: z/ u <br /> LOCK: <br /> REMARKS: <br /> pfi C-(T ntp.Mettcrr Calibration: Date; ' 7 _T_TTunes td Meter Serial No.: �+0 f� <br /> E.C_i'689 �� t'�I! W 3 PH-1 ! r�[ -00 pH 10 �0,at oaod pH ,3_.7? / L _&O <br /> . Terttperatute OF _ 0 ,-2, <br /> SIGNATURE ._ �� REVIEWED BY:` PAGE OF � <br />