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� u <br /> WATER SAMPLE FIELD DATA SHEET Rev 1197 <br /> PROJECT NO '9,(-1-2 5---ZZ , 003 SAMPLE ID d <br /> PURGED BY CLIENT NAME _ 3- <br /> VII <br /> OT SAMPLED BY { LOCATION ���` <br /> TYPE GroundwaterTSurface Water Leachate Other <br /> CASING DIAMETER(inches) 2 3 4 45 6 Other <br /> CASING ELEVATION(feet/MSL) VOLUME IN CASING (gal) _S'.0_ <br /> DEPTH OF WELL(feet) 1,-7 CALCULATED PURGE(gal) 1:L0 <br /> DEPTH OF WATER(feet) 43 ACTUAL PURGE VOL (gal) _ (Cal <br /> DATE PURGED "' END PURGE of C� <br /> DATE SAMPLED _ _ SAMPLING TIME _ t l <br /> TIME VOLUME pH EC TEMPERATURE COLOR TURBIDITY <br /> 0 R) (gal) r�I (Nmho/sr/�Q25'c) -"-- -(-•F) — (visual) <br /> - F(visual)� 3- s -S W � <br /> � <br /> 1(6'51 <br /> y -- - <br /> OTHER t ODOR <br /> (COBALT 0-100) (NTU 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL,(t a FB-1,XDUP-1) r <br /> i <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump Bader(Teflon) <br /> Centrifugal Pump Bader(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bader(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard*°" Dedicated Well WizardTM Dedicated <br /> Other Other ; <br /> WELL INTEGRITY <br /> LOCK i <br /> REMARKS <br /> I <br /> pH,E C,Temp Meter Calibration Date Time Meter Serial No <br /> E C 1000 ! pH 7 / pH 10 / pN 4 <br /> Temperature'F <br /> SIGNATURE ~i, _ �` REVIEWED B PAGE—0 OF_E?_ - <br />