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WATER SAMPLE FIELD DATA SHEET Rev. 1/9 <br /> N <br /> PROJECT NO: 7 SAMPLE ID <br /> �• PURGED BY :/71- t�A CLIENT NAME: t2 CSD a I ��p <br /> OWT SAMPLED BY: , s LOCATION: : T'qG <br /> TYPE: Groundwater Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 L,-' 3 4 - 4.5 6 Other <br /> CASING ELEVATION(feet/MSL): VOLUME IN CASING(gal.): '06 <br /> DEPTH OF WELL,(feet): CALCULATED PURGE(gal.): ,c20 <br /> DEPTH TO WATER(feet): ACTUAL PURGE VOL.(gal.): - <br /> DATE PURGED: y END PURGE: (293 -r <br /> DATE SAMPLED: SAMPLING TIME: <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> � (.�4DOHR) (gal (umhos/cm@25=c1 �f"F1 visual) (visual) <br /> 1162 r'4� <br /> 10 s_ a1 1-S _ F, <br /> • OTHER: / ODOR_ <br /> (COBALT 4-100) (NTO 0.200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e.FB-1.XDUP-0 <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump L—1 m er(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> bmersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizardb Dedicated Well Wizard6 Dedicated <br /> Other: Other: <br /> WELL INTEGRITY: � LOCK:� <br /> REMARKS: <br /> PH,E.C.,Temp.Meter Calibration: Date: j Time: 1 Meter Serial No.: <br /> E.C. 1000 / pH 7 / pH 10 / pH 4 / <br /> 10 <br /> Temperature°F <br /> REVIEWED BY: PAGE 6 OF <br />