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,s y <br /> WATER SAMPLE FIELD DATA SHEET <br /> Rev 1197 <br /> PROJECT NO 2 I�I?S�2-�1 0�3 SAMPLE ID M{� ` <br /> PURGED BY r�„ <br /> CLIENT NAME f-4 10,133 <br /> OMIT SAMPLED BY LOCATION 5�ac k lrM <br /> TYPE Groundwater ✓ Surface Water Leachate Other <br /> CASING DIAMETER(inches) 2 3 4 y 45 8 Other <br /> CASING ELEVATION(feet/MSL) VOLUME IN CASING(gal) ;?2,-7 <br /> DEPTH OF WELL(feet) ���� CALCULATED PURGE(gal) (2.0 <br /> DEPTH OF WATER(feet) �(„ ACTUAL PURGE VOL (gal) _Q1,b <br /> DATE PURGED 3 f I`tY END PURGE I rz <br /> DATE SAMPLED _ 1 SAMPLING TIME le-( <br /> TIME VOLUME pH EC TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal) units) (pmhos/Cm@?25'C) (°F) (visual) (visual) <br /> OTHER j _ ODOR OVAL <br /> (COBALT 0-100) (NTt10-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(l a FB-1,XDUP-1) 4 <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> ✓ Submersible Pump Bader(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard*m Dedicated Well WizardTm Dedicated <br /> Other Other <br /> WELL INTEGRITY- LOCK <br /> REMARKS <br /> pH,E C,Temp Meter Calibration Date (,W- Time Meter Serial No <br /> EC 1000 1 pH 7 1 pH 10 1 pH 4 I !r <br /> Temperature°F <br /> SIGNATURE �7. k>wJ t'�W'4 __ REVIEWED By PAGE S OF <br />