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WATER SAMPLE FIELD DATA SHEET Rev. 1/9 <br /> PROJECT NO: ZQ,�N - 60%- C%D Li- SAMPLE ID: MSW <br /> . PURGED BY :_ `� , (4-x,3 nt� CLIENT NAME <br /> CWT SAMPLED BY : tL LOCATION LcM i <br /> TYPE: Groundwater t— Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 3 4 4.5 6 Other <br /> CASING ELEVATION(feet/MSL): VOLUME IN CASING(gal.): 3.7 _ <br /> DEPTH OF WELL(feet): CALCULATED PURGE(gal.): <br /> DEPTH TO WA'T'ER(feet): 3'],Zb ACTUAL PURGE VOL.(gal.):- 10-C) <br /> DATE PURGED: Z ��r t] END PURGE: {I Q <br /> DATE SAMPLED: L SAMPLING TIME: j <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal.) nits) (pmhoslcm@25°c) (°F) (Visual) wts <br /> I!� 4.0 1z3 {N <br /> 773- ce:z 172- C,-2.0 <br /> 17 z Ct -- _ <br /> . OTHER: w ODOR: � <br /> (COBALT(o.100) f Wu 0-200) <br /> FIELD QC SA`1PLES COLLECTED AT THIS WELL,(i.e.FB-1,XDUP-I): <br /> PURGING Ens 11PMENT DUIPMENT- <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump t/ Bailer(Teflon+ <br /> L Centrifuzal Pump Bailer(PVC) Bomb Sampler Bailer(Staeniess Steel) <br /> ✓Subrternble Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard6 Dedicated Well Wizard6 Dedicated <br /> Other: Other: <br /> WELL INTEGRITY: LOCK: �-- <br /> REMARKS: <br /> PH.E.G.Tcmp.Meter Calibration: Date: ZC Time: 10" Meter Serial No.: <br /> F-C- ME 1 f y(.3 pH 7 OSI `t ck--) phi 10 +_ I (C�.C_?d3 pH 4 '�r I .C eJ <br /> Temperature OF � <br /> SIGNATURE 17i' REVIEWED BY: PAGE OF A <br />