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WATER SAMPLE FIELD DATA SHEET Rev 1/92 <br /> PROJECT NO �Cy I� 0 IS O I SAMPLE 1D <br />. S S Cia TES �CON PURGED BY __ 1_PtCO +�,a_ CLIENT NAME rr-n <br /> EM <br /> SAMPLED BY ° LOCATION <br /> TYPE Ground Water Surface Water Leachate Other <br /> CASING DIAMETER (Inches) 2 3 4 4 5 6 Other. <br /> CASING ELEVATION (feet/MSL) VOLUME INCASING (gal ) <br /> DEPTH OF WELL (feet) CALCULATED PURGE (gal ) <br /> DEPTH TO WATER (feel) _ ._�, '-1 6 ACTUAL PURGE VOL (gal ) <br /> DATE PURGED 3f -3 End Purge <br /> DATE SAMPLED Sampling Time <br /> TIME VOLUME pH EC TEMPERATURE COLOR TURBIDITY <br /> (24DO Hr) I( ai} (un, ) (µmhos/cm@ 25° C) °�P)� (visual/cobaii) (vis�ua�V�pN"TU�) <br /> u -1 � J <br /> OTHER. ODOR t / <br /> (C LT 0 i00) (NTU 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (i a FB-1, X-DUP-1) f <br /> PUBC21LIQ EQUIPMENT SAMPLING EQUIPMENT <br /> 2-Bladder Pump Bader(Teflon®) 2'Bladder Pump —C::L Saler(Teflono) <br /> ,�; —cenlnlugai Pump Bader(PVC) Bomb Sampler Baler(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Welt Wizard7" Dedicated Well WizardTm Dedicated <br /> Other //�� Other <br /> WELL INTEGRITY CxnAI r-4174 M7' Ito 4r,1 _Life r n LOCK# <br /> REMARKS <br /> VA <br /> aa g h k r" l i <br /> P&LW5P11j tedr R_ �2 !1 T 53 -t Z2Z <br /> PH E C Temp Meter Calibration Date Time Meter Serial No <br /> EC 1000 ! pH 7 pH 10 pH 4 <br /> Temperature ° F <br /> Signafure Reviewed By Page of <br />