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WATER SAMPLE FIELD DATA SHEET Rev 1,S7 <br /> r��/� SAMPLE ID �/w I (�d <br /> PROJECT NO c-�1 7 7S " ��� • -"" _ <br /> • PURGED BY a t5 S CLIENT NAME �� <br /> OMIT SAMPLED BY .� , LOCATION <br /> TYPE Groundwater_ Surface Water Leachate Other <br /> CASING DIAMETER (inches) 2 3 4 kl/ 45 6 Other <br /> r 6 a <br /> CASING ELEVATION(feet/MSL) VOLUME IN CASING (gal) <br /> DEPTH OF WELL(feet) ,S CALCULATED PURGE(gal) S S <br /> DEPTH OF WATER (feet) 4 S ACTUAL PURGE VOL (gal) -zr <br /> DATE PURGED I j-L04?7 END PURGE 0,57 <br /> DATE SAMPLED 4SAMPLING TIME Z<2 <br /> TIME VOLUME pH E C TEMPERATURE COLOR TURBIDrTY <br /> (2400 HR) (gal) (units) lumnoslcm 25'c) ('F) X p tvauau <br /> Hoy rx 179 c4v-- <br /> 7. 0,X 7S3 �. _rL✓ <br /> 2 <br /> OTHER a, 91 J /k ODOR <br /> (COBALT 0 100) (NTU 0-2001 <br /> FIELD OC SAMOI ES -n'_,EC rEC`A r THIS WELL(t a FB-1 XDUP-1) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2'Bladder Pump Bader(Teflon) 2"Bladder Pump `'Bailer(Teflon) <br /> Centrifugal Pump Baiter(PVC) Bomb Sampler Bader(Stainless Stull <br /> Submersible Pump Bader(Stainless Steel) Dipper Submersible Pump <br /> Well Waard"' Dedicated well Wtzardl" Dedicated <br /> Other OtherWELL INTEGRITY git, LOCK <br /> REMARKS <br /> pH E C Temp Meter Cahoration Date f Time Meter Serial No <br /> E C SD00 ! pH 7 1 pH 10 ! pH 4 1 <br /> Temperature*F /?1T" 0 <br /> SIGNATURE _ REVIEWED BY IAZPAGE OFL <br /> i <br /> I <br /> I <br /> I <br />