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WATER SAMPLE FIELD DATA SHEET Rev 1192 <br /> r PROJECT NO GAJ' u•d 1 SAMPLE ID ATg," <br /> CON PURGED BY <br /> ASSOCIATES 1'Tt1 UA CLIENT NAME JIAC00�t 3 <br /> ON <br /> SAMPLED BY LOCATION IM Z _ <br /> TYPE Ground Water ?L Surface Water 5z!achate Other <br /> CASING DIAMETER (inches) 2 3 4 4 5 6 Other <br /> CASING ELEVATION(feet/MSL) / VOLUME IN CASING (gal ). Q I v <br /> DEPTH OF WELL (feet) �� CALCULATED PURGE (gal ) <br /> DEPTH TO WATER (feet) ��� ACTUAL PURGE VOL (gal.) , Y4 <br /> DATE PURGED g End Purge �Zla <br /> DATE SAMPLED Sampling Time /2-2-0 <br /> TIME VOLUME pH EC TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) (unds) (J tznQaD 230 C) ('F) ( fit) (visuaVNTU) <br /> 12-o-7 -7438 3101r.0 . 0 j"WA1 hwvfitoar <br /> --LA o 2.o , y 060r <br /> ��t� Yo �,iy 3,o,�v �_ o►�E <br /> Ill Q - x.10 o v <br /> OTHER SA, rm^o DcH ODOR sl- GNB N� <br /> (COBALT x100) (NTU 0-200-200 <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (1 a F8-1, X-DUP-1)- N� <br /> PURGING EQUIPMENT SAMPLING EQUIPME(YI <br /> 21 Bladder Pump Bailer(Teflon®) 2'Bladder Pump Bailer rra to*) <br /> X CenmWoal Pump Bailer(PVC) Bomb Sampler Bailer(stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Subrnem ble Pump <br /> well wizard' Dedicated - Well Wizardn Dedicated <br /> Other Other �/ <br /> WELL INTEGRITY �r�O �lr�flTc'1�716 00 ~ RWt• tw LOCK It • or <br /> SPP YcLoco <br /> REMARKS <br /> pH,E C,Temp Meter Calibration Date Time I601e1101 Serial No <br /> E C 1000 L,- p>♦7 ► pH 10 ► pH 4 ► <br /> Temperature °F <br /> Signature 9 Reviewed eyPage 3 Of 1 <br />