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WATER SAMPLE FIELD DATA SHEET Rev. 1197 <br /> .JJ' � l <br /> PROJECT NO : 'L�11 7 S SAMPLE ID : iN `Ib `� 1 <br /> PURGED BY : v '^ CLIENT NAME : At4o Li ff4 <br /> OMIT SAMPLED BY : LOCATION : <br /> TYPE: Groundwater Surface Water Leachate Other <br /> CASING DIAMETER (inches). 2 3 4 4.5 6 Other <br /> CASING ELEVATION (feeVMSL) : VOLUME IN CASING(gal.) <br /> DEPTH OF WELL(feet) : ']f.�( _ ._ CALCULATED PURGE(gal.) : O• <br /> DEPTH OF WATER (feet) : 1(1-3L ACTUAL PURGE VOL. (gal.) : Co .a _ <br /> DATE PURGED : t-'l"1'�� END PURGE: t 1 <br /> DATE SAMPLED : SAMPLING TIME: ! (Pt o _ <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal.) (units) (pmhoslcmo25"c) ('F) (visual) (visual) <br /> _.r gay <br /> ® <br /> OTHER: ?0. - '3J j 4,L s✓ ODOR: S}'�-q <br /> (COBALT 0-100) (NTU 0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e. FB-1,XDUP-1) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well WizardTm Dedicated Well Wizardm -Dedjqated <br /> Other. . Other. <br /> WELL INTEGRITY: oaf) LOCK: p,y(,•� <br /> REMARKS: Mir 1 0+-L 014, L,0 <br /> PH,E.C.,Temp.Meter CalibrationDate: S� CTime-A w Meter Serial No.: <br /> E.C. 1000 r pH 7 1 pH 10 ! pH 4 1 <br /> • Temperature'F <br /> SIGNATURE: REVIEWED BY: PAGE 1 OF <br />