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WATER SAMPLE FIELD DATA SHEET Rev 1197 <br /> — J SAMPLE t,:) J 7` <br /> /8) <br /> PROJECT NO �'T Sn -�a�� d <br /> PURGED BY �LI SS CLIENT NAME L^�f�C® <br /> OMIT SAMPLED BY P41, <br /> if:-f,551 LOCATION 5 j:,L4e—Sa0,j -[4 <br /> TYPE Groundwater V Surface Water Leachate Other <br /> CASING DIAMETER (inches) 2 ✓ 3 4 45 6 Other <br /> gi <br /> CASING ELEVATION (feetlMSL) r / a--- VOLUME IN CASING(gal) 711 <br /> DEPTH OF WELL(feet) 1`F CALCULATED PURGE(gal) <br /> DEPTH OF WATER(feet) ACTUAL PURGE VOL (gal) <br /> DATE PURGED ////? lq7 END PURGE <br /> DATE SAMPLED SAMPLINGTIME J Z <br /> TIME VOLUME pH EC TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal) (units) (ymtioslcm®25'c) ('F) Ws yal) (visual) <br /> C& 7,3 7 Wo743019 ct, -7- <br /> 6k o Cir <br /> OTHER - L ODOR A 1 <br /> (COBALT 0.100) (HTU 0-200) <br /> i <br /> FIELD QC SAMPLES '_'^" ECTEnAT THIS WELL( i e FB-1 XDUP-1) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2'Bladder Pump Bader(Teflon) 2'Bladder Pimp V Bauer(Teflon) <br /> Centnfugal Pump Bader(PVC) Bomb Sampwr Bader(Stainless Steel) <br /> submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard— Dedicated Well Wizard^' Dedicated <br /> Other Other <br /> WELL INTEGRITY LOCK <br /> REMARKS <br /> PH EC Temp Meter Calibration Date Time l Meijer Serial No 1:147 <br /> E C 1000 1 pH I pH 10 1 pH 4 ! <br /> Temperature'F 5w-- l*hj <br /> SIGNATURE REVIEWED BY PAGE OF <br />