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WATER SAMPLE FIELD DATA SHEET Rev 1/97 <br /> PROSECT NO SAMPLE ID `� <br /> PURGED BY CLIENT NAME <br /> O `,T SAMPLED BY LOCATION <br /> TYPE Groundwater Surface Water Leachate Other <br /> CASING DIAMETER(inches) 2 3 4 45 5 Other <br /> CASING ELEVATION(feet/MSL) n-Q VOLUME IN CASING(gal) <br /> DEPTH OF WELL(feet) CALCULATED PURGE(gal) �. ? <br /> DEPTH OF WATER(feet) To ACTUAL PURGE VOL (gal) <br /> DATEPURGED j 9 END PURGE 2-5 <br /> DATE SAMPLED SAMPLING TIME ---r/ <br /> TIME VOLUME pH EC TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal) (units) (timhoslem025°0 (°F) (visual) (visual) <br /> 1128 Of Ja 67 <br /> OTHER 11 C�` L.L . ODOR <br /> (COBALT o loo) (Nru o aoo) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i a FB-1,XDISP-i) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2 Bladder Pump Sailer(Teflon) 2"Bladder Pump _j5 _8ailer(Teflon) <br /> Centrifugal Pump —7-"�5' Sailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Satter(Stainless Steel) Dipper Submersible Pump <br /> Well WizardO Dedicated Well Wizard6 Dedicated <br /> Other Other <br /> WELL INTEGRITY t?k_ LOCK ja0,7 p <br /> REMARKS <br /> pH F C Temp Meier Calibration Dat,. S�s� / ! 'Gime Meier Senal No <br /> EC I000 ! / pH 7 pH 10 ! ryc)t) pH 4 ! �/o6 <br /> TunfXraturc.°F <br /> . SIGNATURE _ _ REVIEWED BY PAGE OF <br />