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i <br /> ET- Rev '/g2 <br /> K� WATER SAMPLE FIELD DATA SHE <br /> • V ==OJECT NO 11--i TS — -7C,0- 00 ( SAMPLE 1D <br /> EMCONURGED BY CLIENT NAME <br /> t� rr <br /> z-AMPLED BY LOCATION L <br /> TYPE GrOuna '--later Surface Water Leachate Other <br /> CASING DIAIVMETE= (mcnes► 2' — 3 a 4 5 6 Other <br /> CASING E,.E;A T ON (feeVMSL) "GLUME IN CASING (gat ) 5 <br /> DEPTH JP WELL (feet) l CALCULATED PURGE (gat ) <br /> DEPTH TO WATER (feet) _ 41D CTUAL PURGE VOL (gat ) Lq <br /> i <br /> DATE PURGE End Purge ?) <br /> DATE SAMPLED Sampling Time <br /> i <br /> SME OLUME pH EC TEMPERATURE .'OLOR TURSIDITY <br /> 2-100)� H� (units) cmC0 25*4f� (� ivisuaucodattl { NTU} <br /> I <br /> t2f LlC�, � ltic �.I C <br /> � � I <br /> OTHER � Q <br /> ODOR <br /> OBALT 0 100) 4TU 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (I a FB-1 X OJUP-1) <br /> PURGING FOUIPMr- MENT <br /> 2-Blacker r--rip Bader(Tellone9) 2'Bladder Pump T Bier I Teflon®) <br /> Centritugal Pump <--Ela,Iw(PVC) Bomb Sampler Ballot(Slairiwes SGtiet) <br /> 5ubmersioie Pump Bailer(Stainless Steel) Dipper Subs*laft pump <br /> Well Wlzatc— Dedicated Well Wizard- Ded',-i <br /> Qtner Othw <br /> WELL INTEGRITY LOCK tat 3Z��C7 <br /> REMARKS <br /> F <br /> pH EC Temp Meter Calibration pate Time Meter Serial No <br /> E C :1C C0 pH ]0 ��r pH 4: 7 Temature ' F ' <br /> r <br /> Sianaiure/ ' ti`'{5 Reviewed By Pae <br /> 9 j <br /> ! / of �� <br />