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,r <br /> WATER SAMPLE FIELD DATA SHEET Rev 1/9 <br /> PROJECT NO _ Z {1 Z C--'n I.Ua I SAMPLE ID _ --(o L-71e) <br /> PURGED BY 'g , �L�-44 <br /> fff CLIENTNAME Aa�d ZI3�d <br /> O YY ! SAMPLED BY if, VOCATION — <br /> TYPE Groundwater Surface Water Leachate Other <br /> CASING DIAMETER(inches) 2 ✓ 3 4 45 6 Other <br /> I <br /> CASING ELEVATION(fee4MSL) VOLUME IN CASING(gal.) <br /> DEPTH OF WELL(feet) CALCULATED PURGE(gal.) 1 , <br /> DEPTH TO WATER(feet) 13 C6-z3 ACTUAL PURGE VOL (gal) <br /> DATE PURGED Z L END PURGE _ [Z 1 3 <br /> DATE SAMPLED l+/ .. SAMPLING TIME 177.2 6 <br /> TIME VOLUME pH EC TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gam) (=ft) 4LmhLosk <br /> 7. <br /> � m025-e)CA C7, <br /> -7 � 7, <br /> ..m.3- --Q .. 7. 11 --y -- <br /> OTHER ODOR <br /> (00BXLT 0-100) (IVTU 0-2W) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i a FB-1,XDUP-1) <br /> EQL(M G EOUIPMENT <br /> r Bladder Pump Barter(Tefloo r Bladder PumpVBaelcr(Teflon) <br /> Ceaftifugal Pump Bailer(PVC) Bomb Sampler Bader(Stamleas Steen <br /> __LZSubmexible Pump Bader(Stamlm Steen Dipper Srdm entble Pump <br /> Well Wimdb Dedicated Well Wimde Dedicated <br /> Otbw Other• <br /> WELL INTEGRITY �( / LOCKr <br /> REMARKS <br /> i <br /> I <br /> i <br /> pH,EC.,Temp.Meta Cahbmuon Date.�� Time. Meer Senal No <br /> E C 1000 1 pH 7 / pH 10pH 4 <br /> / <br /> Temperature OF <br /> • SIGNATURE REVIEWED BY PAGE g OF <br />