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WATER SAMPLE FIELD DATA SHEET Rev. tis <br /> PROJECT NO: At, l--tom CWj I SAMPLE ID: <br /> .}� PURGED BY : t CLIENT NAME•_ V5 <br /> O11 � <br /> `�Y 1 SAMPLED BY : LOCATION: .LA.,); <br /> TYPE: Groundwater U Surface Water Leachate Other <br /> CASING DIAMbLER(inches): 2 1/ 3 4 4.5 6 Other <br /> 'CASING ELEVATION(feet/MSL): VOLUME 1N CASING(gal.) <br /> DEPTH OF WELL(feet): CALCULATED PURGE(gal.): 10. <br /> DEPTH TO WATER(feet): 7. ACTUAL PURGE VOL.(gal.); <br /> DATE PURGED: Z Z°! cZ� END PURGE: <br /> DATE SAMPLED: iV SAMPLING TIME.. ILi G r <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TLMBIDI TY <br /> 42400HR) (gal.) units) (pmh cm025°c) (r°F) (visual) tvt ) <br /> 0H <br /> t3 <_ z ! <br /> } OTHER: ODOR: <br /> (COBALT0-100) fkW0-200) <br /> FIELD QC SA`IPLES COLLECTED AT THIS WELL(i.e.FB-1,XDUP-l) <br /> PUE!QlNG EQUIPMENT SAMPLING EQUIPMENT <br /> 2'Bladder Pump Bailer(Teflon) 2-Bladder Pump L' Bailer(Teflon p <br /> Centrifu2w Pump Bailer(PVC) Bomb Sampler Bailer(Stainiess Steel) <br /> t/�Submersible Pump Mier(Stainless Steel) Dipper Submetsibic Pump <br /> Well Wizard() Dedicated Well Wizard6 Dedicated <br /> Other: Ott= <br /> WELL INTEGRITY: (err LOCK: CQ <br /> REMARKS: �� w <br /> ' a <br /> pH.E.C.,Temp.Meter Calibration: Date:S. e— t� Time: Meter Serial No.: <br /> E.C. 1000 / pH 7 / pH 10 ! pH 4 I <br /> Tempe atwe OF <br /> SIGNATURE: REVIEWED BY: PAGE OF__O_ <br />