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WATER SAMPLE FIELD DATA SHEET Rev. <br /> PR03ECT NO : Gly CCriZ. C'Q? SAMPLE ID <br /> . PURGED BY ; r fL CLIENT NAME:_ fc�- •� g <br /> ®WT SAMPLED BY : <br /> LOCATION: <br /> TYPE: Groundwater t/ Surface Water Leachate Other <br /> CASING DIA`IETER(inches): 2 3 4 j/ 4.5 6 Other <br /> CASING ELEVATION(feet/MSL): VOLUME IN CASING(gat.): '177 <br /> DEPTH OF WELL(feed: CALCULATED PURGE(gal.):_ t 7. <br /> DEPTH TO WATER(feet): (-{`i _&C> ACTUAL PURGE VOL.(gal.): t U . C) <br /> DATE PURGED: l 6 { `c? END PURGE. <br /> DATE SAMPLED: _ SAMPLING TIME:J- l I - <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TT-MBIDTTY <br /> (2400 HR) (gal.) (units) (Nmhoslcm@25.0 (°F) (visual) ivnsual) <br /> NOT -- r7. 5 _v a- - ,L <br /> • OTHER: ODOR: ) � <br /> (COBALT ( Tu 0-200) <br /> FIELD QC SAMPLES COLLECTED ATTHIS WELL( i.e.FB-1.XDUP-1) : <br /> i <br /> PURGING EOUIPMF <br /> 2"Bladder Pump Bailer(Teflon) 2-BIadder Pomp Bailer(Teflon <br /> CentnfuzW Pump Bailer(PVC1 Bomb Sampler Bailer(S=nicss Steel) <br /> Submersible Pump Bailer(Stainless Stolll Dipper Submersible Pump <br /> Well WiL2zd4 Dedicated Well Wizwd6 Dedicated <br /> Other: p <br /> w>~I.L[NTEGRTIY: C�✓G fk _ LOGIC: �?s <br /> REMARKS: k4t.( dONC3 CO) (� [ -- <br /> pH.EC..Tcmp_Mctcr Calibration: Data: sin"Ma'-1 Titer. Meter Serial No.: <br /> . <br /> EC_1000 pH 7 1 pH LQ ! pH 4 <br /> Temperawre OF <br /> SIGNATURE: REVIEWED BY: PAGE (_� OF� <br />