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WATER SAMPLE FIELD DATA SHEET Rev. 119 <br /> PROJECT NO: zQ FrLO 607_. ckJT SAMPLE ID; I AAA <br /> . PURGED BY : fir, CLIENT NAME: C -� - <br /> OWT SAMPLED BY : LOCATION, S <br /> TYPE: Groundwater Surface Water Leachate Other <br /> CASING DIA�IET'ER(inches): '_ 3 4 L—�— 4.5 6 Other <br /> CASING ELEVATION(feet/MSL): VOLUME IN CASING(gal.): Gq. ! <br /> DEPTH OF WELL(feet►: ,Z CALCULATED PURGE(gal.): :&7 <br /> DEPTH TO WATER(feet): _ y �Z ACTUAL PURGE VOL.(gal.): <br /> DATE PURGED: 3 l END PURGE: <br /> DATE SAMPLED: SAMPLING TIME <br /> TIME VOLUME PH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal.) (units) (Nmhoskm@25°t) n (nSuall �visuw) <br /> - 'M 6-0 s � <br /> rZ <br /> . OTHER: ODOR: <br /> (COBALT O-100) { 'FUO-2001 <br /> HELD QC SAMPLES COLLECTED AT THIS WELL( i.e.FB-I,XDUP-1): <br /> PU$QING EOUIPMENT SAMPLING EQUIPMENT <br /> 2-BIadder Pump Bailer(Teflon) 2"Bladder Pumpy Bailer(Teflon i <br /> Centrifurral Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> well Wiard6 Dedicated wen wires Dedicated <br /> other. Other: <br /> WELL INTEGRITY: </"e'� �`Yrr LOCK: 37�Z <br /> REMARKS: <br /> i <br /> pH.EC..Temp_Meter Calibrations: Date: �- �~ Time: Meta Serial No.: <br /> . <br /> EC,I01* / pH 7 I pH l0 / pH 4 / <br /> Temperatm"F <br /> SIGNATURE: �4 REVIEWED BY: PAGEOF� <br />