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WATER SAMPLE FIELD DATA SHEET Rev 119 <br /> PROJECT NO SAMPLE ID <br /> . PURGED BY CLIENT NAME <br /> 01f11 A SAMPLED BY LOCATION <br /> TYPE Groundwater f/ Surface Water Leachate Other <br /> CASING DIAMETER(inches) 3 3 4�G 4 5 6 Other <br /> CASING ELEVATION OccUMSL) VOLUME IN CASING(gal) <br /> DEPTH OF WELL(feet I CALCULATED PURGE(gal ) <br /> DEPTH TO WATER(feet) /" ACTUAL PURGE VOL.(gal) <br /> DATE Ir" ,8 END PURGE <br /> DATE SAMPLED SAMPLING TIME <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (240D HR) (gal) (ueial (Pmhos/cm0250c) ff) tvisua(1 (Visual) <br /> OTHER ODOR <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL( i e F13-1,XDUP-1) (OOBA�100) f Vn]0-200) <br /> PURGINQ FOUIPMFNT SAMPLING EQUIPMENT <br /> ?'BIadder Pump Bailer(Teflon) r Bladder Pump BmW ITeflont <br /> Centnfural Pump Bailer(PVC) Bomb Sampler Basler(Statruess S(ea)l <br /> Submersible Pump Bailer(Stainless Steel) <br /> Dipper Submersible Pump <br /> Well Wizard0 Dedicated �`�Well Wt�dO Dated <br /> Other <br /> Other <br /> WELL.INTEGRITY <br /> LOCK <br /> REMARKS <br /> i <br /> pH EC,Tcmp Meter Calibration Date Tupc Meter Sena]No <br /> EC 1000 pH � <br /> Temple-F pH 10 / pH 4 / <br /> SIGNATURE REVIEWED By PAGE� OF`4 <br />