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WATER SAMPLE FIELD DATA SHEET Rev. 1197 <br /> r r <br /> PROJECT NO : -t-'t-1-) 30"r �'�� ' d C73 SAMPLE ID : 1\AV-) f3 0 y 2) <br /> PURGED BY ; t.J�7 Fr�� CLIENT NAME : i-i Yto <br /> • �c-�fJ^� <br /> OWT SAMPLED BY LOCATION : <br /> TYPE: Groundwater Surface Water Leachate Other <br /> CASING DIAMETER (inches): 2 3 4_ 4.5 6 Other <br /> CASING ELEVATION (feet/MSL) : I VOLUME IN CASING (gal.) : 1! 4 <br /> DEPTH OF WELL(feet) : 2!ta CALCULATED PURGE (gal:) : S-5 . 7 <br /> DEPTH OF WATER (feet) : `il y, S ACTUAL PURGE VOL. (gat.) : ex (7 <br /> DATE PURGED S END PURGE : Q 01 <br /> DATE SAMPLED : SAMPLING TIME : /3 &1 <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal.) (units) (pmhos/=@25°c) ff) (visual) (visual) <br /> ZO 22-0 <br /> �I4 <br /> • OTHER: {� , Z, ! •3 L ODOR: <br /> (COBALT 0-100) (N�TU 4-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e. FBA,XDUP-1) : _ <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump x Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> .5ubmersihie Pump Bailer(Stainless Steel) Dipper Submersikie-Pump <br /> —•Well Wizard"" t] ed Well Wizard T"" edicated <br /> Other. Other <br /> WELL INTEGRITY: LOCK: O� <br /> REMARKS: SAI <br /> ? ` _ a • 3 t] Meter Serial No.:_ �(� /L <br /> pH,E.C.,Temp.Meter Calibration Date: i Time: <br /> E.C. 10001: 1 ! t,0'0 pH 7 _O 1 A pH 10 .rt ! .l pH 4 % <br /> �1)0 1 e <br /> Temperature°F .� <br /> SIGNATURE: REVIEWED BY:�Qf—PAGE OF <br />