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UZ�'1 WATER SAMPLE FIELD DATA SHEET Rev 1/92 <br /> PROJECT NO 7I-O! ,( SAMPLE ID :�-�', �z3 r <br /> oci.Tfs PURGED 8Y G +/-� CLIENT NAME —A/- `� 3 <br /> SAMPLED BY LOCATION �;[CTG ET�`Zi ? <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 IN CASING (gal ) ZJJ <br /> DEPTH OF WELL (feet) 7 CALCULATED PURGE (gal ) � Y <br /> DEPTH TO WATER (feet) � �� „ ACTUAL PURGE VOL (gal ) l <br /> DATE PURGED - End Purge f 1 Z <br /> DATE SAMPLED Sampling Time t1 <br /> TIME VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> 00 r) units (Funhoslcm 25'C ) <br /> 976 a Y (units) @ ) (—� ) ' (visual/cobalt) (ws—=�f---- <br /> yiz r 96 --71 Z, <br /> OTHER_ ODOR } <br /> (CO A—�LT 0.100) { Tj� U p 200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (I e FB 1, X DUP-1) <br /> PURGINQ FOUIPMFNT SAMPLING EQUIPMENT <br /> 2 Bladder Pump Bader{Teflon(&) 2-Bladder Pump Bader (Teflon®) <br /> Centnlugal Pumper(PVC) Bomb Sampler Bader(Stainless Steel) <br /> Submersible Pump Bailer (Stainless Steel) Dipper Submersible Pump <br /> Well Wizard" Dedicated Wel! WizardTM Dedicated <br /> Other Other <br /> WELL INTEGRITYClLOCK <br /> REMARKS <br /> PH E C Temp Meter Calibration Date Time Meter Serial No <br /> E C 1000 I pH 7 / pH 10 <br /> 1 pH Q I <br /> Temperature ° Ft <br /> C1 1 <br /> Signature Reviewed By ��I�� Page 0f / — <br />