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a <br /> WATER SAMPLE FIELD DATA SHEET Rev. 1197 <br /> 4 60�Ik 1�6 - SAMPLEPROJECT NO ID . I�l'Y" (57 U / <br /> PURGED 6Y 111ki <br /> CLIENT NAME : <br /> OWT SAMPLED BY : M LOCATION <br /> TYPE: Groundwater ✓ Surface Water Leachate Other <br /> CASING DIAMETER (inches): 2 3 4 L� 4.5 6 Other <br /> CASING ELEVATION (feetlMSL) : AW VOLUME IN CASING(gal.) : <br /> DEPTH OF WELL(feet) : 757 CALCULATED PURGE(gal.) : 1 <br /> DEPTH OF WATER{feet) : oa ACTUAL PURGE VOL. (gal.) : r <br /> DATE PURGED : 7 END PURGE : S� <br /> DATE SAMPLED : 1 SAMPLING TIME : l r�A <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (9a1.} (unrls) (pmhoslrxn@25'c) (�) � 111-9:4— — <br /> &1 0 17 <br /> OTHER: <br /> a D- L L ODOR: 12rLU/- <br /> (COBALT <br /> (COBALT 0-100) (NTU 0-200) <br /> FIELD QC SAMot_9c r-7n1 1 ECTEC-PCr THIS WELL(i.e. F13-1,XDUP-1) : r f yz-�— <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump ler(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Sailer(Stainless Steel) <br /> ubmersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well WizardT" Dedicated Well WizardTM Dedicated <br /> Other: <br /> Other. <br /> WELL INTEGRITY: - -- LOCK: <br /> REMARKS: <br /> pH.E.C.,Temp. Meter Calibration:Date: <br /> �� o� / Time: ,2,q 0 meter Serial No.: <br /> E.C. 1000 / pH 7 ! pH 10 ! pH 4 1 <br /> Temperature'F <br /> 3 <br /> SIGNATURE: BYPAGE OF <br /> REVIEWED <br />