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WATER SAMPLE FIELD DATA SHEEN Rev 1192 <br /> PROJECT NO t 11' - �Q(p CC>) _ ,_ SAMPLE ID A[R" 2-G) <br /> iE11CON PURGED BY CLIENT NAME , 1 Uq3 <br /> SAMPLED BY LOCATION '" „ <br /> TYPE Ground Water '� Surface Water Leachate Other <br /> CASING DIAMETER (inches) 2 3 4 x 4 5 6 Other <br /> r <br /> Y <br /> CASING ELEVATION (feet/MSL) VOLUME IN CASING (gal ) <br /> DEPTH OF WELL (feet) CALCULATED PURGE (gal ) <br /> DEPTH TO WATER (feet) 1 Z•� ) ACTUAL PURGE VOL (gat ) <br /> DATE PURGED L`f End Purge <br /> DATE SAMPLED Sampling Time <br /> i IME VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> 2400 Hr) (� ) (units) (µmhos/mt@ 25• C) (,F) (visuaii otiait) <br /> (visuatlNTll) , <br /> In U <br /> � h �199 ElAq o <br /> OTHER ODOR _ <br /> (COBALT 0 100) (NTU 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (i a FB 1 X DUP-1) <br /> PURGING FOUIPMENT SAMPLING _EQUIPMENT <br /> 2'Bladder Pump Bader(Teflon44) 2'Bladder Pump �_ Sailor{Teflon®) <br /> Cenmtugal Pump Bader(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard*" Dedicated Weil wizaras" Dedicated <br /> Other Other <br /> WELL INTEGRITY ��Jja Q�C M LOCK tt <br /> REMARKS <br /> pH EC Tempter Caliilbrra�anon Date TMeter eter Serial No qq1 <br /> E C 100o 1 10M pH 7 - GH 10 - 9 23_! 12-1)0 pH 4 <br /> Temoerature <br /> &)A Signature ( Reviewed 13Y Page ---1•---^ of — <br />