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WATER SAMPLE FIELD DATA SHEET Rev 1192 <br /> PROJECT NO <br /> SAMPLE ID E- !1? <br /> . SCON <br /> •SsoctAres PURGED BY iu CLIENT NAME /gAc,,3 g x( 33 <br /> �AIS�t-Ep <br /> SAM; 6E-9-BY LOCATION 9FA/kocf <br /> r`Q'JJ}f STa�-KTn,J <br /> TYPE Ground Wafer -4 Surface Water Leachate <br /> Ostler <br /> CASING DIAMETER (inches) 2 3 4 4 5 6 Other <br /> CASING E_ N (feet/MSL) VOLUME IN CASING (gal ) <br /> DEPT� tfeet 13,7o - <br /> ( ) CALCULATED PURGE (gal.) <br /> DEPTH TO WATER (feet) v 1 ACTUAL PURGE VOL (gal ) <br /> DATE PURGED 0 NAEnd Purge <br /> SFN <br /> DATE #Pt-Efl; J Sampling Time <br /> TIME <br /> 414 wVOLUME PH E C TEMPERATURE COLOR <br /> runitsl gursttosiane 25' Cl TURBIDITY <br /> (4a� > ('F} (v�suaurabattl (vasuaintTU) <br /> OTHER <br /> ODOR <br /> (COBALT 0-100) (N TU 0-Z00) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (i a FB-1, X-DUP-1) N� <br /> I <br /> 2'elaooer Pump Bader(Tetlona) 2'Bladder Pump Bailer Teflon® <br /> ( ) <br /> Centrrtugai Pump gaiter(PVC) Bomb Sampler Bader(Stainless Steel) <br /> Subn•.ersiala Pump Bailer(Stainless Steel} Dipper Su>}mersrbla Pump <br /> weM wiL3rQm TM Dedicated <br /> � � lVDedicatedOther <br /> Other Dedicated well Wizard <br /> WELL INTEGRITY LOCK 1i o <br /> REMARKS <br /> A3 orNG P r rN wt� - Ivo J�oh.P� <br /> PH E C Temn tileter Calibration Date Time Meter Serial No <br /> EC 'COO "_`L _ py PH 10 <br /> Temperature <br /> � may( /Y7 I79rz c�<,y,J <br /> Signature 3 2,0 <br /> Reviewed By Page � of ��� <br />