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WATER SAMPLE FIELD DATA SHEET Rev 1/9 <br /> PROJECT NO ��1'� � �.�� SAMPLE ID t� '?2! <br /> PURGED BY CLIENT NAME <br /> O YY 1 SAMPLED BY LOCATIONig==k ,R1 — <br /> TYPE Groundwater !</ Surface Water Leachate Other <br /> CASING DIAMETER(inches) 2 3 4 4 5 6 Other <br /> CASING ELEVATION(feet/MSL) r— VOLUME IN CASING(gal) -ZZ-.2 <br /> DEPTH OF WELL(feet) CALCULATED PURGE(gal) <br /> DEPTH TO WATER(feet) I ... ACTUAL PURGE VOL (gal) G 7a <br /> DATE PURGED Z 2 END PURGE j7 <br /> DATE SAMPLED SAMPLING TIME $Q�` <br /> TIME VOLUME pH EC TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal) (units) (Nmhos/cm@251c) ('F) visual) visual) <br /> _ Z ,o J 7 0t 1 Z .& to' <br /> OTHER ODOR <br /> (COB T 0.100) ITU 0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(t a FB-1,XDUP-1) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump •'atter(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> __j,,-d3ubmersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> well wizard6 Dedicated well w=d6 Dedicated <br /> Other Other <br /> WELL INTEGRITY LOCK <br /> REMARKS <br /> pH EC Temp Meter Calibration Date Time Meter Serial No <br /> E C 1000 ! H 7 / <br /> P pH 10 ! pH 4 / <br /> Temperature°F � <br /> SIGNATURE REVIEWED BY PAGE OF g <br />