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WATER SAMPLE FIELD DATA SHEET Rev. 1197 <br /> n _ �0 ) <br /> PROJECT NO .aJ 7 7 S—� ;�, `�`�a SAMPLE [D .�Iw �� <br /> PURGED BY 5 5 <br /> CLIENT NAME : r'2_CO aZl�G <br /> OWT SAMPLED BY :,/!7. If, S S LOCATION 7—V Lr^ <br /> TYPE. Groundwater Surface Water Leachate Other <br /> CASING DIAMETER (inches): 2 3 4 ✓ 4.5 6 Other�� <br /> f, L <br /> CASING ELEVATION (feet/MSL) : /✓rL. VOLUME IN CASING (gal.) : <br /> DEPTH OF WELL(feet) c-1,y�_ CALCULATED PURGE (gal.) : <br /> DEPTH OF WATER (feet) : ACTUAL PURGE VOL. (gal.) <br /> DATE PURGED : HMO f,7 END PURGE <br /> DATE SAMPLED : .? SAMPLING TIME :_4 ZZ-,x::> _ <br /> TIME VOLUMEpH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal.) (units) iumnoslcm025'0 (;F) ( ual! <br /> visual <br /> �� � — <br /> � (act� <br /> OTHER: ^ ODOR: �pl-C4— <br /> (COBALT 0-100) (NTU 0-200) y <br /> FIELD QC SAMPI-ES THIS WELL ( i.e. FB-1,XDUP-1) : <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump 1- aEN/iler(Teflon) <br /> Centrifugal Pump Barter(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> �r �- bmersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> — Well Wizard"" Dedicated Well Wizard'" Dedicated <br /> Other. <br /> Other: <br /> WELL INTEGRITY: LOCK: <br /> REMARKS: <br /> PH,E.C..Temp. Meter Calibration:Date: Time: ✓� Meter Serial No.: 9 <br /> � <br /> E.C. 1f�0� 3 ! �OD� p <br /> i1r7+ H7 1 ?o0 pH 10 �D.2 Df�a pH41�� moo <br /> Temperature'F <br /> SIGNATURE: REVIEWED BY: PAGE 3 OF <br />