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WATER SAMPLE FIELD DATA SHEET Rev. 1/9 <br /> 4��* i <br /> PROJECT NO : Z oFq o -co Z c)-7 SAMPLE ID: MAA) <br /> PURGED BY :_ '�j LL—,A-C" CLIENT NAME: <br /> = <br /> ®WT SAMPLED BY : I. - - LOCATION: <br /> TYPE: Groundwater — Surface Water Leachate Other <br /> CASING DIAMETER(inches): 3 ✓ 3 4 4.5 6 Other <br /> CASING ELEVATION(feet/MSL): — VOLUME IN CASING(gal.): <br /> DEPTH OF WELL(feel):_ 7Q .. 1 CALCULATED PURGE(gal.): <br /> DEPTH TO WATER(feet):_ 3 _� � ACTUAL PURGE VOL.(gal.): <br /> DATE PURGED:, !f 4 y� END PURGE. V10 Q� <br /> DATE SAMPLED: SAMPLING TIME: �Zd <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> 42400 HR) (gal.) kyrutsI (µmhos/cmQ2500 (°F) (visual) svtsuah <br /> =lz: �( <br /> OTHER: ODOR: <br /> (COBALTO-100) 4TU 0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL( i.e.FB-I.XDUP-1): <br /> ELMOINQ EQUIPMENT SAMPLING FDUIPME <br /> 2'Bladder Pump aikr(Teflon) 2'Bladder Pump _j:t4ailer(Teflon <br /> Ce=fuzai Pump Bailer(PVC) Bomb Sampler Sailer(Staini,ess Steel) <br /> Submersible Pump Bailer(StainlessSteel) Dipper Submersible Pump <br /> well Wi=dQ Dedicated Well Wiz2rd6 Dedicated <br /> Other: Other. <br /> WELL IrrrECRrrY: �[j"_-- -- 2, .. .,,., LOCK. Z�z <br /> REMARKS <br /> pH.�L .Temp.Meter Calibration: Daae: 1 . /�L Time: f/L/ f Mew Serial No.: cod v s <br /> E.C.?4aB�{ C t �, 1(1/5 <br /> {L f 5 pil 7 -1 LL'rO 12:g 6 pH 10 q-�_tD t0 0 r, pli 4 <br /> Temperature OF <br /> SIGNATURE: 11 _ REVIEWED BY: PAGE OF <br />