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WATER SAMPLE FIELD DATA SHEET Rev. 1192 <br /> PRQIECT NO SAMPLE ID. <br /> PURGED BY CLIENT NAME. <br /> SAMPLED BY LOCATION: <br /> TYPE= Ground Water Surface Water_ Leachate �...._ Other <br /> CASING DIAMETER(inches): 2 3— 4 4S— 6 Other <br /> CASING ELEVATION(feet/MSL) VOLUME IN CASING (gat.) <br /> DEPTH OF WELL (feet) CALCULATED PURGE (gal.) <br /> DEPTH TO WATER (feet) -- ACTUAL PURGE VOL (gal.) <br /> DATE PURGED. End Purge <br /> DATE SAMPLED Sampling Time <br /> TIME VOLUME pH E C. TEMPERATURE CALOR TURBIDITY <br /> (2400 Hr) (Sal.) (unas) (µnh0Wart@ 25'C) (°F) (wsuauc0ba11) (VssuobNTU) <br /> OTHER ODOR <br /> (COBALT o-100) (N 0.200) <br /> FIELD CC SAMPLES COLLECTED AT THIS WELL (i e. FB-1, X.DUP•1 <br /> Bladder Pump - Saller(Tetlono ) 2'Bladder Pump Saller(Tenon®) <br /> Centrft"Puma Sailer(PVC) Bomb Sampler Bailer(Stainins SIMM <br /> Submerseft Pump Bailer(Stakums steal) Dipper SubmersiAe Pump <br /> Well WLmlam Dedicated We" Wlzaralm Dedicamd <br /> Other Owe f, <br /> WELL INTEGRITY LOCK 8 <br /> REMARKS. <br /> pH,E C,Temp Mater Calibration Dale, Time <br /> Meter Serial No <br /> EC loot]. 0 —PH 10 / °H 4 <br /> Temperature o F <br /> SIGNATURE: Reviewed by, Page at <br /> 0 EM C O N RGURE <br /> ASSOCISt@S WATER SAMPLE FIELD DATA SHEET A102 <br />