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WATER SAMPLE FIELD DATA SHEET Rev 1197 <br /> PROJECT NO / 7 7 S e'Zs't`t-�3 <br /> SAMPLE I D <br /> PURGED BY r /Zo CLIENT%DAME /� '�D 02I 3o <br /> OYIf f SAMPLED BY 5 LOCATION _ <br /> TYPE Groundwater Surface Water Leachate Other <br /> CASING DIAMETER(inches) 2 3 4 ✓ 45 6 Other <br /> CASING ELEVATION(feeVMSL) VOLUME IN CASING (gal) <br /> DEPTH OF WELL(feet) CALCULATED PURGE (gal) !, 31.1 <br /> DEPTH OF WATER(feet) $ ACTUAL PURGE VOL (gal) �`'� S _ <br /> DATE PURGED END PURGE �CS3 <br /> DATE SAMPLED SAMPLING TIME Z�lp <br /> TIME VOLUME pH EC TEMPERATURE COLOR TURBIDITY <br /> (2400 H (gal) (unttsl (umhosrcm 25101 F I sual) (visuail <br /> r� -)e- 7- <br /> OTHER ODOR <br /> (COBALT 0-100) (NTU 0-200) <br /> FIELD QC SPMA!EF rrli r Er+rcn Ar THIS WELL( i a FB-1 XDUP-1) _ <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Sailer(Teflon) 7 Bladder Pump ader(Teflon) <br /> Centrifugal Pump Bader(PVC) Bomb Sampler Bader(Stainless Steel) <br /> Submersible Pump Bader(Stainless Steel) Dipper Submersible Pump <br /> wen t11fzard^ Dedicated Well wrrardT" Dedicated <br /> Other Other <br /> WELL INTEGRITY LOCK <br /> REMARKS <br /> pH E C Temp Meter Calibration Date 7 7 Time /i7y D Meter Serial No <br /> E C 1000 1 pH 7 1 pH 10 t pH 4 ! <br /> Temperature IF �i�- �~`o <br /> SIGNATURE ` REVIEWED BY/%4PAGE. 0F <br />