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•1 !y <br /> WATER SAMPLE FIELD DATA SHEET ReV9/9 <br /> PROIECTNO �r7?Sr-ZZ`} �_ 3 SAMPLE ID <br /> PURGED BYj, (�.c.��[�mR CLIENTNAME _ L30 <br /> Q Y Y ' SAMPLED BY LOCATION Jc <br /> TYPE Groundwater ✓ Surface Water Leachate Other <br /> CASING DIAh1ETER(inches) 2 3 4 45 6 Other <br /> CASING ELEVATION(f6e:VMSL) VOLUME IN CASING(gal) 7 <br /> DEPTH OF WELL(feet) 73 1 CALCULATED PURGE(gal) <br /> DEPTH TO WATER(feet) QS t-i2 ACTUAL PURGE VOL al <br /> DATE PURGED I Z 17, END PURGE I <br /> DATE SAMPLED SAMPLING TIME _!G <br /> TIME VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gaL) (vat) (µmh(e @25°c) ("F) 6104 <br /> tt,:J!� �. C .a 7. V k Ov 2 <br /> 3't' 11r. 0 7, Z LI $4 g ?d .O <br /> OTHER ODOR. <br /> (Co� <br /> FIELD QC SAMPLES COLLECTED ECT D AT THIS WELL(i a FB-1,XDUP-1) <br /> 2"Bladder Pump Bader(Teflon) 2"Bladder Pump _A,,=$ader(Teflon) <br /> Cemtnfugal Pump Bader(PVC) Bomb Sampler Bader(SWWcsa Stan <br /> t--lubmersible.Pump Bader(Stainless Stan Dipper Submersible Pump <br /> Well Wimrd6 Dedicated Well WumrdB Dedicated <br /> Otho' Other <br /> WELL INTEGRUY �� meg. <br /> REMARKS <br /> pH.E.G.Temp Meta Cahbrauon Date. CAx, .�"Lrt+��—y Tmie Meter Senal No <br /> E_C.1000 ! pH 7 / pH 10 / pH 4 / <br /> Temperdurre OF <br /> • SIGNATURE. REVIEWED BY PAGE� OF_� <br />