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WATER SAMPLE FIELD DATA SHEET Rev 1197 <br /> PROJECT NO `Z(`775 22`1 CO SAMPLE ID I,tJ — �- <br /> PURGED BY =e5 CLIENT NAME <br /> OWT SAMPLED BY st, LOCATION <br /> TYPE Groundwater r/ Surface Water Leachate Other <br /> CASING DIAMETER(inches) 2 3 4 4 5 6 Other <br /> CASING ELEVATION (feet/MSL) VOLUME IN CASING (gal) Z <br /> DEPTH OF WELL(feet) �-�. CALCULATED PURGE(gal) <br /> DEPTH OF WATER (feet) ti ) -Lt&t ACTUAL PURGE VOL (gal) <br /> DATE PURGED 3 S 4g END PURGE 101t4 <br /> DATE SAMPLED SAMPLING TIME _ 0 2C? <br /> TIME VOLUME pH EC TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal) (units) (pmhoslcmQ25"c) ("F) (visual) (visual) <br /> 100( 210 qs( 6q$(— _r G-C.Ir �Gw <br /> Lt <br /> OTHER ODOR 44ft <br /> (CORAL' 0-100) (NTU 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL(i a FB-1,XDUP-1) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bader(Teflon) 2"Bladder Pump Bader(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bader(Stainless Steel) Dipper Submersible Pump <br /> Well WizardTm Dedicated Well WizardTm Dedicated <br /> Other Other a I Q <br /> WELL INTEGRITY _ LOCK <br /> REMARKS <br /> pH,E C,Temp Meter Calibration Date3 I �y� Time 09 jZ Meter Serial No <br /> E C 1000 pH 7 pH 10 r7 S� 1 (O ap pH 4 1.071 <br /> Temperature°F �n�•. .R <br /> SIGNATURE REVIEWED BY P <br /> „ AGE OF <br />