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WATER SAMPLE FIELD DATA SHEET Rev 119 <br /> PROJECT NO L 01, L")Q U r (N3) ! <br /> SAMPLE ID <br /> PURGED BY <J H�.r� CLIENT NAME <br /> 0 YY i SAMPLE BY LOCATION 5-7-0"<--mAj <br /> TYPE GroundwaLL-- Surface Water <br /> Leachate Oilier <br /> CASING DIAMETER nchesi 2 3 4 X 45 <br /> 6 Other <br /> CASING ELEVATION ,Ieet/MSL) VOLUME 1N CASING(gal ) z <br /> DEPTH OF N«.(feet) LI( CALCULATED PURGE(gal ) <br /> TO WATER(feet) {p° ACTUAL PURGE VOL (gal ) �LVF- <br /> DEPTHc.rcA� <br /> DATE .r _j p Ct END PURGE is <br /> DATE SAMPLEDSAMPLING TIME j Z <br /> TIME VOLUME pH EC TEMPERATURE COLOR TURBIDITY <br /> 2400 HR) tal (units? (pmhoslcm@25°c) <br /> ( FI {visual) (visual <br /> • OTHER r <br /> ODOR j � <br /> (COBALTO-100) (NTU0-tont <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL( i a FB-1 XDUP-1) <br /> PURGING FnSAMPLING FQUIPMEM: <br /> *� � <br /> ?'Bladder Pump ailer(Teflon) 2"Bladder Pump Baiter(Ttflan► <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steei <br /> Submersible me Bailer(Stainless Steel) <br /> Dipper Submersible Pump <br /> Wei izard0 Dcdsca[ed W II Wizard0 <br /> Other Dedicated <br /> Other <br /> WELL INTEGRITY A, l f <br /> LOCK C/ <br /> REMARKS <br /> pH E C Tcmp Meter Caitbrzrion Date J J54 Time! W z <br /> Meter Serial No <br /> EC 1000 / pH7 / pH 10 1 H4 / <br /> Temperature°I" p <br /> SIGNATURE. REVIEWED BYQe <br /> PAGE OF r <br /> --.�_ ��� <br />