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WATER SAMPLE FIELD DATA SHEET Rev. 919 <br /> PROJECT NO: r�d "��_oc,7 SAMPLE ID: -- 17— <br /> PURGED <br /> ZPURGED BY : r ,lL CLIENT NAME: f-,? Ld LA 6>")- <br /> OWT SAMPLED BY : LOCATION : <br /> TYPE: Groundwater ✓ Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 y 3 4 4.5 6 Other <br /> CASING ELEVATION(feet/MSL): VOLUME IN CASING(gal.): 7. <br /> DEPTH OF WELL(feet): 10 .O CALCULATED PURGE(gal.): <br /> DEPTH TO WATER(feet): q 5- (e ACTUAL PURGE VOL.(gal.): <br /> DATE PURGED: 2,114 ft END PURGE: 13 t( <br /> DATE SAMPLED: SAMPLING TIME: (3 17 <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal.) (un(tsl (pmhos/cm025°0 (°F) (visual) ivisuall <br /> 1301 t O $. <br /> t3tr Z2.� � , ��[ <br /> • OTHER: - ODOR: t/�✓ �� <br /> (COBAL'T 0-100) (VTU moo) <br /> FIELD QC SANIPLES COLLECTED AT THIS WELL(i.e.FB-I.XDUP-1) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2'Bladder Pump Bailer(Teflon) 2"Bladder Pump Bailer(Teflon <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainiess Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well wirard6 De&=ed well wizard6 Dedicated <br /> other: other <br /> WELL INTEGRITY: C-001%N I LOCK: <br /> REMARKS: <br /> pH.E.C..Temp.Meter Calibration: D=4c— Time: Meter Serial No.: <br /> • E.C.1000 / pH 7 / pH 10 / pH 4 ! <br /> Temperature°F <br /> SIGNATURE � � REVIEWED BY: PAGE _OF <br />