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WATER SAMPLE FIELD DATA SHEET Rev_ 1/97 <br /> PROJECT NO : u"Z-1 -M3,007 SAMPLE ID : 1z V> <br /> L'lol <br /> . PURGED BY : WC;P444-11 CLIENT NAME : L4�+ _ <br /> OWT SAMPLED BY : V LOCATION : ✓ <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) : t Z. _ CALCULATED PURGE(gal.) : 7. 0 <br /> DEPTH OF WATER (feet) : ACTUAL PURGE VOL. (gal.) : q. <br /> DATE PURGED : -( Y END PURGE <br /> DATE SAMPLED : SAMPLING TIME : ( �3 <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal.) (units) (pmhoslcm@25°c) (°F) (visual) (visual) <br /> I <br /> rr�� -- <br /> OTHER: _� , _ (L -G c. _ ODOR: ' I <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 Wuardrm sated Well Wizard— Dedicoed" <br /> Other. Other: <br /> WELL INTEGRITY: LOCK: Jc P <br /> REMARKS: <br /> pH,E.C.,Temp.Meter Calibration:Date: f STT- Meter Serial No.: <br /> E.C. 1000 ! pH 7 t� ! ` pH 10 1 pH 4 l <br /> Temperature'F <br /> • I SIGNATURE: REVIEWED BY: PAGE OFA <br /> � 1 <br />