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WATER SAMPLE FIELD DATA SHEET Rev. 1/97 <br /> —L <br /> U0PROJECT NO . `Ll�"1 ) ' �� ' O 03 SAMPLE ID :_ 6.,t W _ <br /> . PURGED BY : ;�JO 4WV-s CLIENT NAME, 4AzQ <br /> Q1111T SAMPLED BY: V LOCATION : 5A3-2 640-04 <br /> TYPE: Groundwater` Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 3 4_$, 4.5 6 Other <br /> CASING ELEVATION (feet/MSL) : VOLUME IN CASING(gal.): (<?. <br /> DEPTH OF WELL(feet) : •L. CALCULATED PURGE(gal.) : 5-Y-„ <br /> DEPTH OF WATER(feet) : if f--JLo ACTUAL PURGE VOL. (gal.) : 579: 2 - ._ <br /> DATE PURGED : Z-(1 _q a END PURGE : t3 )7 Z– <br /> DATE SAMPLED: SAMPLING TIME: /y 0j) <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal.),,,, (units) (Nmhoslcm@25°c) ("9 (visual) (visual) <br /> OTHER: `J L (Q.3 ODOR: !V!'fl�L <br /> • (COBALT 1]-700) 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 Baiter(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 icated Well WizardTm Dedi <br /> Other. Other. <br /> WELL INTEGRITY: C LOCK: �6 <br /> REMARKS: &0f fe.., LV C+s <br /> pH,E.C.,Temp.Meter Calibration:Date: W�rir Meter Serial No.: <br /> E.C. 1000 ! 7 1 pH 10 1 pH 4 ! <br /> • Temperature"F <br /> SIGNATURE: REVIEWED BY:e(� PAGE. <br />