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WATER SAMPLE FIELD DATA SHEET Rev. 1197 <br /> PROJECT NO : <br /> Z. '( �-- 2. .00 SAMPLE ID : <br /> MPURGED BY : CLIENT NAME : <br /> OWT SAMPLED BY : LOCATION : 5 �.✓ <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.) : 17, ) _ <br /> DEPTH OF WELL(feet) : Z, CALCULATED PURGE(gal.) : .L. <br /> DEPTH OF WATER(feet) : ACTUAL PURGE VOL. (gal.) : 7 if _ <br /> DATE PURGED : �'-(� END PURGE <br /> DATE SAMPLED : SAMPLING TIME: f yr/j <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (9a1. (units) (pmhoslcm@25'c) (°F) (visual) (visual) <br /> Lc <br /> OTHER: C� O .50 . �,>?�{Ci ODOR: �o�L �. <br /> (COi�AI_T 0-100) 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 WixardTm /" Dedicated _ Well Wizard— Dedicated <br /> Other. T _ Other. �- <br /> WELL INTEGRITY: LOCK: <br /> REMARKS: - — <br /> ro <br /> pH,E.G.,Temp.Meter Calibration:Date: / Time: .� Meter Serial No.: <br /> E.C. 1000 ! pH 7 L i pFl 10 1 pH a <br /> Temperature'F <br /> • SIGNATURE: REVIEWED BY: { PAGE : ' OF <br />