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i <br /> IQN WATER SAMPLE FIELD DATA SHEET Rev. 1/91 <br /> PROJECT NO: ZA A9 I— &CyT. c-J r SAMPLE ID: — <br /> PURGED BY : -P-1" J /i G CLIENT NAME: V''a <br /> OWT SAMPLED BY: ,L LOCATION: <br /> TYPE: Groundwater Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 V 3 4 4.5 6 Other <br /> 'CASING ELEVATION(fecUMSL): VOLUME IN CASING(gal.): 3 <br /> DEPTH OF WELL.(feet): '6,L CALCULATED PURGE(gal.): V <br /> DEPTH TO WATER(feet): 3-7 ACTUAL PURGE VOL.(gal.): I~] <br /> DATE PURGED: END PURGE. I I ::;- <br /> DATE SAMPLED: SAMPLING TIME: Q". <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> 1(,2400 HR) (gal.) nits) (Nmhos/cm@25°c) (°Fl (visual) tviaual) <br /> -0 e 6?2- 6S--1 Ce Trom--,et f6"y AgJ <br /> CA _ 3 ('2� <br /> yrs r <br /> S <br /> . OTHER: <br /> (COBALT 0-100) .'T[]02061 <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e.FB-1,XDUP-1) : <br /> PLMUNG EQUIPMENT SAMPLING EQUIPMENT <br /> 2'Bladder Pump Bailer(Teflon) 2"Bladder Pump V Baiicr(TelonP <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainiess Steel) <br /> t�Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> well Winudb Dedicated well Wirard0 Dedicated <br /> Other: Other. <br /> WELL INTEGRITY: GJ i ' dam' LOCK: <br /> REMARKS: <br /> pH.E.C.,Temp,Meter Calibration: Date: S-f� A4,0— rj Time: Meter Serial No.: <br /> . E.C. 1000 / pH 7 ! pH 10 / pH 4 <br /> Tempenuure°F <br /> SIGNATURE: 1 REVIEWED BY: PAGE 4 OF--j�� <br />