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WATER SAMPLE FIELD DATA SHEET Rev. 1/9 <br /> PROJECT NO: 2(,Re --oce. oc7 SAMPLE ID ;_ 1,4_0 f j <br /> . PURGED BY :.,—,:z CLIENT NAME: <br /> V vY 1 SAMPLED BY : LOCATION: <br /> TYPE: Groundwater t. Surface Water Leachate Other <br /> CASING DIAMETER(inches): ? 3 4 [/ 4.5 6 Other <br /> CASING ELEVATION(feel/MSL): `— VOLUME IN CASING(gal.): <br /> DEPTH OF WELL(feet): CALCULATED PURGE(gal.):_ 2-7_$' <br /> DEPTH TO WATER(feet): ACTUAL PURGE VOL. (gal.) : 7 a <br /> DATE PURGED: 'z J(� �y END PURGE. 1 Z:3 y ' <br /> DATE SAMPLED: I, SAMPLING TIME: <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal.) (unusl (pmhoslctn@25°0 (,F) (vtsual) (visual) <br /> ttj c(L6L rcc ,Ct%j 3 el ?_d -70 . ' y <br /> OTHER: ODOR: <br /> (COSALT a-100) Ot"I'110.200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e.FB-1.XDUP-1) <br /> SAMPLING EQUIPMENT <br /> ?'Bladder Pump Bailer(Teflonl ?'Bladder Pump —Sailer(Teflon] <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Starnicss Steel) <br /> Submersible Pump Bailer(Stainl=Steel) Dipper Submersible Pump <br /> Well Wizaird6 Dedimmd Well Wizard6 Dedicated <br /> Other Other. <br /> WELL INTEGRITY: r � 3'i�! _. LOCK: <br /> REMARKS: <br /> s <br /> z, <br /> pH.E.C.,Temp.Meter CaEibmtiort: Daae:���Y Time.. Meter Serial No.: <br /> . E.C. IWO pH 7 ! pH 10 / pH 4 / <br /> Temperature OF <br /> SIGNATURE: } REVIEWED BY: PAGE O�� <br />