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,a <br /> WATER SAMPLE FIELD DATA SHEET Rev 1197 <br /> Ja SAMPLE ID r��GV `a 0 <br /> PROJECT NO 7 S - °? 37� � SA .., 1'� - <br /> ?URGED BY <br /> CLIENT NAME : . -CIO <br /> . �JCsL_. � - <br /> QWT SAMPLED BYL--'/: > �� �0 � 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) : CALCULATED PURGE (gal.) : sflr /�r7 <br /> DEPTH OF WATER (feet) : ACTUAL PURGE VOL. (gal.) : - <br /> DATE PURGED : if &10 END PURGE : s <br /> DATE SAMPLED : l rj SAMPLING TIME <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gat.) (unit!,, (trmnosicrn @25'c) ('F) (visual) <br /> I� all 7111 <br /> _ — <br /> 51, 0 a �- yin/ <br /> OTHER: �y f - ODOR: <br /> (COBALT 0-100) (NTU 0-200) <br /> FIELD QC SAMDJ-Gc "ni-t ECTEI�u^.T THIS WELL( i.e. FB-1.XDUP-f) : <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 /> Dipper Submersible Pump <br /> C/ Submersible Pump Baiter(Stainless Steel) <br /> Well W aardl' Dedicated well wizard"' Dedicated <br /> Other: Other: . 4 ^— <br /> -� <br /> WELL INTEGRITY: LOCK: <br /> REMARKS: <br /> PH. E.C.,Temp.Meter Calibration:Date: Time: ' <br /> Meter Serial No.: !P�'��/� <br /> E.C. 1000 pH 7 1 �pH 10 1 PH 4 1 <br /> Temperature IF � � /" ` Av— <br /> SIGNATURE: <br /> PAGE OF <br /> REVIEWED By. <br />