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— �5/96 <br /> WATER SAMPLE FIELD DATA SHEET R;;. <br /> PROJECTNO: SAMPLE ID: <br /> PURGED BY: CLIENT NAME <br /> SAWLED BY: LOCATION: <br /> TYPE- Groundwater Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 3 4 4-5 6 Other <br /> CASING ELEVATION(IeeVMSL) VOLUME IN CASING(gal.) <br /> DEPTH OF WELL(feet) CALCULATED PURGE(gal.): <br /> DEPTH OF WATER(feet): ACTUAL PURGE VOL.(gal): <br /> DATE PURGED: END PURGE: <br /> DATE SAMPLED: SAMPLING 11hffi: <br /> TDa VOLUME pH E.C. TEMPERATURE TURBIDITY T11Vm <br /> (2400)]R) (99-) (units) (p-%Ds;rm@25c) (7) (Vi-AVNT(J) (2400HR) <br /> OTHER- ODOR: <br /> (COBALT G-10D) (Nm 0-2m) <br /> FIELD QC SAMPLES COLLECTED AT THIS NNtELL(Le.FB-L XD1UP-I) <br /> PURGING EQUIPMENT SAMPLING <br /> 2'BiadderPump —Dauer(Teflon) 2'Bladder Pump _Basler(Teflon) <br /> Centrifugal Pump —Bauer(PVC) Bomb Sompkr Baer(S&Hdcss Steel) <br /> Submersible Pump _08fler(Stainim Steel) _Dipper Submersible Pump <br /> —MicliNvizardn" Dc&cotd Well Wizardtm Dedicated <br /> Otter: <br /> Otter other <br /> WELL INTEGRITY: LOCKI. <br /> REMARKS: <br /> pH,EC,Temp.KeterCmIibrsdon: Date: Time: Meter Serial No-, <br /> E.C.10DO pH 7 pH IO I pH I <br /> Temperable"F <br /> SIGNATURE: REVIENNIED,BY: PAGE OF <br /> FIGURE <br /> WATER SAMPLE FIELD DATA SHEET A-2 <br />