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WATER SAMPLE FIELD DATA SHEET <br /> Rev 119 <br /> FOO �Z <br /> PROJECT»O . _ Z O r� SAMPLE ID ! luj - (G2 <br /> `� T PURGED BY �. A c CLIENT NAME <br /> O Yt! i SAMPLED BY �_ �+ LOCATION <br /> TyPF. Groundwater t/F Surface Water Leachate Other <br /> CASINGMIAVETER(inches) 2 3 4 v 4 5 6 <br /> - Other <br /> CASING ELEVATION(feet/MSL) 1 VOLUME IN CASING(gal ) 4 3 <br /> DEPTH OF WELL(feed 2 CALCULATED PURGE(gal ) . 7 <br /> DEPTTI TO WATER(feet) ACTUAL PURGE VOL (gal ) <br /> DATE PURGED J (3 CL END PURGE G Ss t1 <br /> DATE SAMPLED SAMPLING TIME <br /> TIME VOLUME pH E-C TEMPERATURE COLOR TURBIDITY <br /> (24(10 HR) (gal) (units) (t�hoslcmc)Q25° (°F) (vtsuaE) ivnsmin <br /> 094,1 7- <br /> 0 1 <br /> 15-0 14�-n '?.07 (f S-3 6 r <br /> _?- ~ /lSSr G 7 <br /> OTHER �' <br /> • ODOR r1eVn.Q_ � <br /> (COBALT 0.100) rVTU 0.200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL( i e IB-I XDUP-1) <br /> 3"Bladder Pump Bailer(Teflon) 2"Bladder Pump t,"-Bailer(Tef1onr <br /> Centrifugal Pump Bader(PVC) Bomb Sampler Bader(Starnuss Syed) <br /> (/Submerstole Pump Bailer(Stainless Stee() <br /> Dipper Submea3ble Pump i <br /> Well Wtzard6 Dedicated Well WizardO <br /> Other Dedicated <br /> Other <br /> WELL INTEGRTIY LOCK O <br /> REMARKS Q , h , ,- <br /> I <br /> PH E.0-Temp Meter CaIJN=on Date. f L Z�q Time a z`lel Meter Scrtal No <br /> EC-= � 5 <br /> pH 10 rpH4 4 L 3^ <br /> Tempaat=of <br /> SIGNATURE _ REVIEWED BY PAGE OF ( 1 <br />