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WATER SAMPLE FfELD DATA SHEET Rev I/9 <br /> PROJECT NO ? Z L C)'L— <br /> SAMPLE ID <br /> PURGED BY Q L") r� CLIENT NAME <br /> Q 11Y I SAMPLED BY LOCATION <br /> TYPE Groundwater V`-- Surface Water Leachate <br /> CASING DIAMETER(inches) Other <br /> � 3 4 45 6 Otho <br /> CASING ELEVATION(feet/MSL) VOLUME IN CASING(gal ) <br /> DEPTH OF <br /> WELT.(feett CALCULATED PURGE(gal ) <br /> DEPTH TO WATER(feet) r ACTUAL PURGE VOL (gal ) f j <br /> DATE PURGED J S END PURGE JD L <br /> DATE SAMPLED SAMPLING TIME 3 <br /> TIME VOLUME pH E C TEMPERATURE COLOR <br /> i 2400 HR) TL'RB1D[T'Y <br /> 1 Sal) sl (pmhos,cm025"0 ("F) (visua)} <br /> mull I <br /> - - <br /> OTHER ODOR / <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL( a FB-1 XDUP-I) (COBALT 0-1001 (vru 0.200) <br /> PURGING FO UIPMENT SAMPLING FOLIIPMEEI <br /> '_"Bladder Pump Bailer[Teflon) ,- <br /> B[adderPump Bail cr[Teflon P <br /> C=EntitgW Pump Bailer(PVC) <br /> Bomb Sampicr Hailer[Statatess Steell <br /> rnerstofe Pump Bal ler(Stainless Steell <br /> Dipper Submersible Pump <br /> Well Wi=a6 Dedicated <br /> LWellzardO Dedicated <br /> Other <br /> Other <br /> WELL INTEGR.I Y LOCK _ 6/1 <br /> REMARKS <br /> PH EC Temp hieter C-dibranan Date T �� <br /> E C 1004 � H / <br /> �'�tet'9et5a1 N0 <br /> Temperature°F <br /> I pH 4 <br /> SIGNATURE REVIEWED BY PACEOF_ &2 <br />