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WATER SAMPLE FIELD DATA SHEET Rev 1/9 <br /> PROJECT NO 7 J a ' - 2ek. C243 <br /> SAMPLE ID <br /> PURGED BY Ft F CLIENT NAME Q(�1x1 $y <br /> O►t t! ! SAMPLED BY LOCATION S 7'b ,tc^ra Aj <br /> TYPE. Groundwater_ I Surface Water Leachate <br /> CASING DIAMETER(inches) 2 Other <br /> - <br /> CASING <br /> � 4 45 6 Other <br /> CASING ELEVATION(feet/MSL) --•-. <br /> VOLUME IN CASING(gal ) S <br /> DEPTH OF WELL(feet] Q CALCULATED PURGE(gal) s <br /> DEPTH TO WATER(feet) Z ACTUAL PURGE VOL.(gal) <br /> DATE PURGED END PURGE O I <br /> DATE SAMPLED i SAMPLING TIME Q f <br /> TIME VOLUME pH I-C TEMPERATURE COLOR TURBIDITY <br /> (2404 HR) (gal) iumtsi (pmhaslcm®25°c) <br /> �� (°Ff (vtstiall (visual) <br /> ��' <br /> 9�' <br /> OTHER -- <br /> ODOR h�� � <br /> (COBALT4-100) (N U0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL( t a FB-1,XDUP-1) <br /> PURGING FOtIIPMFNT SAMPLING EQUIPMENT <br /> 2'Bladder Pump Bailer tTefloni <br /> ?"$]adder Pump w�Bailer t Teflon) <br /> Centrifugal Pump Bailer(PVC) <br /> Bomb Sampler galla tStatnless Steel) <br /> _Submersible Pump Bailcr(Stainless Steel) <br /> DiPPC1 5ubrnastbie Pump <br /> Other Well WizandO Dccbcwcd t+d <br /> Well Wizm0 Dedicated <br /> �J <br /> Other- <br /> WELL <br /> therWELL INTEGRITY <br /> LOCK V-01" <br /> REMARKS <br /> PH EC Temp Meter Calibration Date fe W Z <br /> —�` Time Meter Serial No <br /> E.0 140(} I pH 7 �Tem pH 10 ! pH 4 / <br /> lute°F <br /> SIGNq'NRF- � /n <br /> REVIEWED BY PAGE OF__L_ <br />