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WATER SAMPLE FIELD DATA SHEET Rev. 1/92 <br /> PROJECT NO: SAMPLE ID: <br /> PURGED BY CLIENT NAME_ <br /> SAMPLED BY' LOCATION: <br /> TYPE Ground Water Surface Water Leachate Other <br /> CASING DIAMETER(Inches) 2 3 4 45_ 6 Other <br /> CASING ELEVATION(feeVMSL) VOLUME IN CASING (gal.) <br /> DEPTH OF WELL (feet) CALCULATED PURGE (gal.) <br /> DEPTH TO WATER (feet) ACTUAL PURGE VOL (gal ) <br /> DATE PURGED. End PurgeDATE SAMPLED. Sampling Time <br /> TIME VOLUME pH E C. TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) (gal.) (undo) (wnhoslan@ 25•C) (°F) (%nSualloobalt) (visuaHNTU) <br /> OTHER ODOR <br /> (COBALT 0-100) (N 0-200 <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL (I a.FB-1, X-DUP-1 <br /> PURGING FQLJIPIUI_FNT SAMPLING EQUIPMENT <br /> 2'Bladder Pump Bailer ITellono) 2'Bladder Pump Bailer(TeRone) <br /> Centrdugai Pump - Bailer(PVC) Bomb Sampler - Bailer(Stainless Sleet) <br /> Submenuble Pump - Bailer(Stainless Steel) ._� Dipper ...._ Submersible Pump <br /> Well Wl;zard+r Dedicated Well Wharcim Dedicated <br /> Other <br /> WELL INTEGRITY LOCK#, <br /> REMARKS' <br /> pH, E C.Temp Meter Callimt t- Data• Thm, Meier Serial No <br /> EC 1000 ----PH 7 f pH10 ! <br /> �..`��pH 4 ! <br /> Temperature o F <br /> SIGNATURE Reviewed by Page of <br /> rMCONEFlGURE <br /> lo4i4Associates WATER SAMPLE FIELD DATA SHEET [ A=2 <br />