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} Rev 1197 ,. <br /> WATER SAMPLE-FIELD-DATA SHEET- -- <br /> PROJECT NO 5""020(0 SAMPLE ID aw--S 6�) <br /> PURGED BY M 12-v s S CLIENT NAME <br /> OWT- SAMPLED BY / S LOCATION <br /> TYPE Groundwatery Surface Water Leachate Other _ <br /> CASING DIAMETER (Inches) �2 3 4 ✓ 45 6 Other <br /> CASING ELEVATION (feet/MSL) VOLUME IN CASING(gal) / <br /> DEPTH OF WELL(feet) CU 3 L7 CALCULATED PURGE(gal) , f <br /> DEPTH OF WATER (feet) 3,� Lis _ ACTUAL PURGE VOL (gal) O� <br /> DATE PURGED t'� END PURGE D 7 <br /> DATE SAMPLED (C SAMPLING TIME JLp2D <br /> TIME_ VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal) (units) (urnhosicm025%) (°F) ( sual) (visual) <br /> f Ito <br /> '7 o 64F <br /> • OTHER Q 0, 1 i /k _S ODOR �'-' IVA - <br /> (COBALT 0-100) (NTU n-200) <br /> FIELD OC SAMPI_FS r^i + Er`TCR^r THIS WELL(I a FB-1 XDUP-1) ^j2- <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bailer(Teflon) 2'Bladder Pump- �- ailer(Teflon) <br /> Centrifugal Pump Bader(PVC) Bomb Sampler Bader(Stainless Steel) <br /> '!/_Submersible Pump Bader(Stainless Steel) Dipper Submersible Pump- <br /> Well Wizard'" Dedicated Well Wizard"' Dedicated <br /> Other Other- �• SI�a�/°�'� <br /> WELLINTEGRITY LOCK <br /> REMARKS OA-- <br /> pH E C Temp Meter Calibration Date 9 Lf? Time6?Z 3 Meter Serial No 6 t!/c3' <br /> E C 1000 1 pH 7 1 pH 10 ! pH 4 ! <br /> Temperature'F rhW r � <br /> SIGNATURE dr%ii�?�� I'�^,-� REVIEWED BY PAGE OF <br />