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WATER SAMPLE FIELD DATA SHEET Rev. ,197 <br /> PROJECT NO , ,'lJ a` SAMPLE ID <br /> pZI7�S - <br /> CLIENT NAME : <br /> PURGED BY <br /> OWT SAMPLED BY . LOCATION <br /> TYPE. Groundwater Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 L"-- 3 4 4.5 6 Other_�� <br /> CASING ELEVATION (feet/MSL) : ay <br /> VOLUME IN CASING (gal.) : r- 3 <br /> DEPTH OF WELL(feet) : r CALCULATED PURGE (gal.) : <br /> DEPTH OF WATER (feet) : <br /> ACTUAL PURGE VOL. (gal.) : c� <br /> r1- � JJ <br /> DATE PURGED : END PURGE : v <br /> DATE SAMPLED : �J_ SAMPLING TIME : <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> al.) (units) (umhoslcm025'c) ual Iwsuali <br /> (2400 HR) {9 ( � <br /> :,2-0 ��� � <br /> n r' <br /> OTHER: ODOR:/rl� <br /> V� <br /> (COBALT 0-100) (NTU 0-200) <br /> FIELD OC SAMA!Ec `_'^!!ECTEr' nT THIS WELL( i.e. FB-1, XDUP-1) : / v <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump L/ Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> �bmersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well WizardT" Dedicated well Wizard*" !^�Dedicated <br /> Other,. Other: 0 CSS <br /> WELL INTEGRITY:D k� LOCK: <br /> REMARKS: <br /> PH. E.C.,Temp. Meter Calibration:Date. / Time: 3 a Meter Serial No, rf� <br /> E.C. 1000 I pH 7 I pH 10 1 pH 4 <br /> Temperature"FJ 3 <br /> REVIEWED BY: PAGE -4OF_�_ <br /> SIGNATURE: �"1///" R � — <br />