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WATER SAMPLE-FIELD DATA SHEET Rev. 1/9 <br /> PROJECT NO: 9 17 75 SAMPLE ID:fij"y�ar— <br /> PURGED BY : Ss CLIENT NAME: AtZ60 <br /> O 11Y i SAMPLED BY: SS LOCATION: <br /> TYPE: Groundwater Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 3 4 4.5 6 Other <br /> CASING ELEVATION(feetIMSL): a2 VOLUME IN CASING(gal.) : 62 Op� <br /> DEPTH OF WELL(feet): 71< 0 CALCULATED PURGE(gal.): 75.'d-2 <br /> DEPTH TO WATER(feet): 3ACTUAL PURGE VOL.(gal.): 7-5",- <br /> DATE PURGED: 69 END PURGE: f C290 <br /> DATE SAMPLED: 21 <br /> SAMPLING TIME: f 5 <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> 'r'-a0DHR) (gat.) (units) (pmhos/cm@25°0 ('F) (visual) (visual <br /> r <br /> 7D � . <br /> OTHER: D 3, flyerC_ ODOR: 2 ✓�,t�- <br /> (COBALT 0-100i (NI'U 0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e.FB-I,XDUP-1) : <br /> QURGING EQUIPMENT SAMPLING EQUIPME,�T <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump (---Vailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> well Wizard6 Dedicated Wen Wizards] Dedicated r <br /> Other Other: <br /> WELL INTEGRITY: LOCK: D <br /> REMARKS: <br /> pH,E.C.,Temp.Meter Calibration: Date: Time: O Meter Serial No.: <br /> E.C. 1000 1 pH 7 ! pH110 / pH 4 / <br /> Temperature-F _ T/t/ <br /> SIGNATURE: REVIEWED BY: PAGE _OF <br />