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�? Rev 1197 <br /> DATER SAMPLE FIELD DATA SHEET <br /> PROJECT NO �?75 — a� <br /> O SAMPLE !Q 146-j d v <br /> PURGED BY It CLIENT NAME <br /> OMIT SAMPLED BY SS LOCATION <br /> TYPE Groundwater Surfa Water Leachate Other <br /> CASING DIAMETER (Inches) 2 3 4 45 6 Other <br /> CASING ELEVATION (feeVMSL) r'v VOLUME IN CASING(gal)- <br /> DEPTH OF WELL(feet) ' CALCULATED PURGE(gal) <br /> DEPTH OF WATER(feel) p� ( ACTUAL PURGE VOL (gal) <br /> DATE PURGED // 04 -f? <br /> END PURGE <br /> - <br /> DATE SAMPLED SAMPLING TIME U U <br /> TIME VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> (2104 HR) (gal) (units) (pmhoslcm®25-C) (•F) (visual) (visual) <br /> OTHER G I ,/Yl ODOR C[ kT <br /> (COBALT 0-100) (NTU 0-200) <br /> FIELD OC SPMpi_EQ r'^!!ECrEaA r THIS WELL ( i a FB-1 XDUP-1) <br /> PURGING EQUIPMENT SAMPLING EOUIPMENT <br /> 2"Bladder Pump Bader(Teflon) 2"Bladder Pump oder(Teflon) <br /> Centrifugal Pump Bader(PVC) Bomb Sampler Bader(Stainless Steel) <br /> submersible Pump Bader(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard"' Dedicated Well Wizard" Dedicated <br /> (:km— <br /> WE" <br /> Otter Other [� w LOCK <br /> � <br /> WELL INTEGRITY F'� <br /> REMARKS <br /> pH E C Temp Meter Calibration Date 7 Time fMeter Serial No <br /> E C 1000 �a 1 � pH 7'7 7 3 ! 7V pH t0 �0� ! pH 4 <br /> Temperature•F (a& <br /> SIGNATURE REVIEWED BYPAGE OF <br />