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WATER SAMPLE FIELD DATA SHEET ", Rev 1192 <br /> =gOJECT NO � 't�� r- _ � SAMPLE ID <br /> ='URGED BY CLIENT NAME I� f <br /> SAMPLED 3Y 1 LOCATION <br /> 1 <br /> T mE �rovna Water "� Surface Water Leacnate Other <br /> C—SMG CIAMETER (incrles) 2 '' --< t s 5 a Outer <br /> -,SING ELEVATION (feetrMSL) VOLUME IN CASING gat.) <br /> DEPTH OF WELL (feel) <br /> CALCULATED PURGE ,gat ) G <br /> DEPTH TO WATER (feet) , ACTUAL PURGE VOL (gal ) <br /> DATE PURGED ti —' C E=nd Purge 1 <br /> ,ATE SAMPLED Samouna Time `•� <br /> ')OLUME pH = S TEMPERATURE -JLOR <br /> TU�BlO1TY <br /> iQai {u� it�nosr�;�25•Cl {°P) {visuaumCa�tt kww TU) <br /> � 7 �f r <br /> rJ r` <br /> 1140 � <br /> n� 1 <br /> Z7HER c`*�' �'� coon <br /> (COBALT L (NTU 0-200) <br /> ELD OC SAMPLES COLLECTED AT THIS WELL r3-1 X OUP t) <br /> P M F nI <br /> ENT <br /> „Htadder Pump Satter(Tetlon(9l gladder Pump 2arler(Tenon®) <br /> Centn}ugal Puma Hader(PVC) Some Sampler Bailer(S(atnim SUM) <br /> Submersicle Puma Bailer(Statntess Steel) Dipper Submerstwe Pump <br /> Nen wizarevA Dedicated Well wizard," DedicatW <br /> _.`er <br /> Other <br /> WELL INTEGRITY N <br /> LOCK# <br /> PE►AARKS ��I ► 1 .'., <br /> 0- = C ',:mo Meter Calibration Date <br /> pH <br /> no Motor Serial No <br /> ! —� ;,H 10 .,�� ;-1 4 ! �s <br /> Te—�eratur ' F � <br /> S _"atur� 2 �1 <br /> i —� Reviewea 8y Page ! of `-"�-� <br />