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WATER SAMPLE FIELD DATA SHEET Rev <br /> PROJECT NO �. / 7 t; - Z CG_ aa? SAMPLE IDFO <br /> PURGED BY _ P �) �S-, CLIENT[NAME �? <br /> oWT SAMPLED BY LOCATION <br /> TYPE. Groundwater Surface Water Leachate Other <br /> CASING DIAMETER(Inches) 2 3 4 >Q 45 6 Other <br /> CASING ELEVATION(fccUMSL) VOLUME IN CASING(gal ) , 7— <br /> DEPTH <br /> DEPTH OF WELL(feet) S 7 O CALCULATED PURGE(gal.) <br /> DEPTH TO WATER(feet) 27 y4 ACTUAL PURGE VOL.{g�) <br /> DATE PURGED Z — END PURGE I`13 O <br /> DATE SAMPLED SA_% PLING TIME 1c, <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> 12400 HR) (gal) (Marrs) (pmhosfcm®25°c1 (•F) <br /> (vtsuaill (visual) <br /> 1� ---� �r 1 /� <br /> 7. So 14 6� q Gig <br /> OTHER ~ ODOR <br /> (COBALT 0 100) (NTLI 0.200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL( I c FB-1.XDUP-1) <br /> 2"Bladder Pump Bader ITeflonl 2Bladder Pum <br /> -...� ' P )0 BailcrlTeflon) <br /> Ccntnfugal Pump Bailer IPVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bailer i Stainless Steel) Dipper Submersible Pump <br /> Well WizatdO Deducted Well Wizard0 <br /> Dedicated <br /> Other O�htr <br /> WELL I NTEGRITY .Sea <br /> LOCK Ot f as ti <br /> REMAR,)*, Prr r / yP 'S�6 ' Sv/r1 <br /> PH E C Tcmp Meter Calibration D Meter Serial No <br /> EC 1000 ! <br /> r prkt l0 -� pH 4 / <br /> Tempetamm°F <br /> SIGNATURE REVIEW-ED BY ��'1 PAGE OF <br />