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WATER SAMPLE FIELD DATA SHEET Rev 119 <br /> PROJECT NO Z 1145— q-ZLo 3 SAMPLE ID VW--' �Ul) I <br /> PURGED BY CLIENT NAME xz, ti- ,-{. <br /> OWT SAMPLED BY LOCATION jTDj_k--M YJ <br /> TYPE Groundwater _ x Surface Water Leachate Other <br /> CASING DIAMETER(inches) Z 3 4_� 4 5 6 Other <br /> C USING ELEVATION(feet/MSL) VOLUME IN CASING(gal ) /D. <br /> DEPTH OF WELL(feet) L CALCULATED PURGE(gall —q-jqv&3/-:r <br /> DEPTH TO WATER(feet) ACTUAL PURGE VOL (gal ) o e.r <br /> DATE PUMWZ— p END PURGE <br /> DATE SAMPLED SAMPLING TIME <br /> TIME VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> _400 HR) (gal) (unitsl (y+mhoVcm025°c) OF) �visuali <br /> 1/9 _ s to IY>suall <br /> . OTHER ODOR <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL( ,a FB-1 XDUP-1) (coDaAl.r a I oa) (IYlV 0-200)`. <br /> 2-Bladder Pump Bader(Teflon) 2'Bladder Pump Bailer(Teflon) <br /> Centrifugal Pu Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> 5ubrne ePump Bailer(StainlessSteell <br /> Dipper Submersible Pump <br /> }Wi�O Dedicated Well Wizard6 Dedicated <br /> Other Q 12 <br /> WELL INTEGRITY � ` nn <br /> ( LOCK V, <br /> REMARKS <br /> pH Ec Temp Meter Calibration Dame 5 rYl W <br /> Time _ Meter Serial No <br /> E C 1000 / pH 7 / pH l0 ! pH 4 / <br /> • Tem=rature°F <br /> SIGNATURE _ �� — REVIEWED BY PAGE 1 CJ OF ! r <br /> ��_ <br />