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WATER SAMPLE FIELD DATA SHEET <br /> _ Rev 119 <br /> UZ <br /> ;\ PROJECT NO SAMPLE ID (''-� Z Cie DI�1 <br /> PURGED BY CLIENT NAME <br /> 0 rY 1 SAMPLED BY LOCATION S' <br /> TYPE Groundwater Surface Water Leachate ether <br /> CASING DIAMETER(inches) '— 3 4_ 45 6 Other <br /> CASING ELEVATION(feet/MSL) VOLUME IN CASING(gal ) <br /> DEPTH OF WELL(feet) CALCULATED PURGE(gal ) Lv lO.c7 <br /> DEPTH TO WATER(feet) $ ACTUAL PURGE VOL.(gal) <br /> DATE PURGED l a END PURGE �(o <br /> DATE SAMPLED SAMPLING TIME <br /> TIME VOLUME pH EC TEMPERATURE COLOR TURBIDITY <br /> 12400 HR) (gal) (units) (pmh0s/cm@25°c) (°F) (visual) (visual? <br /> t <br /> _ D Z ` (1 <br /> OTHER 000R �,yN�- <br /> (COBALT0-100) (NrU0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL( t a FB-1 XDUP-1) <br /> PURGING"FOUIEMENT SAMPLINQ EOU <br /> —.ZPMFNT <br /> 2"BIadder Pump Bailer(Teflon) 2"Bladder Pump Bader(Teflon i <br /> Centriftiew Pump Bailer(PVC) Bomb Sampler Bailer(SLuruess Steel? <br /> 4- ,Xnersible Pump Bailer(Stainkess Steel) Dipper Submcrs?b!e Pump <br /> Wel)Wizard Dedicated Well Wizard0 Dedicated <br /> Other <br /> Other <br /> WELL INTEGRITY <br /> LOCK <br /> REMARKS <br /> pH EC Temp Meter Calibration Date7 <br /> E C LGA lY1} <br /> 410 Time Ito Meter Sepal No Zj L <br /> 9 <br /> Temperature°F pH 7 ? Z 3 17�o pH l0�y ! �.Da pH 4 19V 1 <br /> SIGNATURE REVIEWED BY PAGE 0F <br />