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rjok'**\ WATER SAMPLE FIELD DATA SHEET— Rev. 1192 <br /> PROJECT NO -L 7(� SAMPL _ "3/. a <br /> � <br /> ASSOCIATESEMCON PURGED BY < i tri ,..l,f CLIENT NAME. Zl <br /> SAMPLED BY LOCATION .� N <br /> TYPE Ground Water �' Surface Water Leacnate Other <br /> CASING DIAMETER (inches) 2 3 4 4 5 6 Other <br /> CASING ELEVATION (feet/MSL) VOLUME INCASING (gal ) <br /> DEPTH OF WELL (feet) l 1 -7 CALCULATED PURGE (gal.) —7' <br /> DEPTH TO WATER (feet) ACTUAL PURGE VOL. (gal ) �f <br /> DATE PURGED 3 r End Purge <br /> DATE SAMPLED Sampling Time \ <br /> TIME VOLUME pH EC TEMPERATURE COLOR TURBIDITY <br /> {21 ' Jnits) (wnrtosn ?50C) (°s=)�.. Ivisuaucoballl ;v+ausuV 1 <br /> 5 <br /> _(.4y _ <br /> OTHER ODOR <br /> (C0,0ACT 0-100) (N -200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (i a FB-1. X-OUP-1) <br /> 2'Sradder Pump Bader 1Teflon®) - 2'Bladder Pump Bonar(teflon®) <br /> Centrdugal Pump ailer(PVC) Bomb Sampler Baller(Stalnlms Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper _ SUWnemible Pump <br /> Well WlzardTM Dedieated Well WizardTM Dedkined <br /> Other Otter <br /> 7 <br /> WELL INTEGRITY "" LOCK it <br /> REMARKS - <br /> 1 <br /> pH EC Temp Meter Callbratlon Date Time Meter Senal No <br /> E C 1000. i- pH 7�� pH 10 jPH 4 <br /> Temperature ° F <br /> Signature .. - Reviewed By Page --Ly of <br />