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WATER SAMPLE FIELD DATA SHEET Rev. 1/97 <br /> PROJECT NO . <br /> rQN.- r?t:;" <br /> 3 0:Q3 SAMPLE 1Q . - <br /> PURGED By : G 5S CLIENT NAME : <br /> OWT SAMPLEQ BY : / -LOCATION :� J .!✓ <br /> TYPE. Groundwater <br /> Surface Water Leachate Other <br /> CASING DIAMETER (inches): 2 <br /> 3 4 � 4.5 6 Other <br /> f d�� <br /> CASING ELEVATION (feeVMSL) : VOLUME IN CASING (gal.) : ;7 <br /> DEPTH OF WELL(feet) : y% CALCULATED PURGE (gal.) <br /> DEPTH OF WATER (feet) : �j ACTUAL PURGE VOL. (gal.) : ;2 • S <br /> DATE PURGED : END PURGE : S <br /> DATE SAMPLED : SAMPLING TIME : S <br /> TIME VOLUME PH <br /> E.C. TEMPERATURE COLOR TURBIDITY <br /> mhoslcm025'o1 'F1 (vrsual} <br /> (2400 HR) (visual) <br /> (90-1 (units) fu <br /> - "- V� <br /> OTHER: �, �/ ODOR: /`� <br /> (COBALT 0-100) (NTU 0-200) <br /> FIELD QC SAMPLES gni ErYcn Ar THIS WELL ( i.e. FB-1, XDUP-1) : el(rz­ <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump <br /> Bailer(Teflon) 2'Bladder Pumpiler(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Hailer(Stainless Steel) <br /> Dipper Submersible Pump <br /> =--g-ultimBailer(Stainless Steel)ersible Pump � — <br /> Well w¢ard"W Dedicated <br /> well Wizard T" Dedicated <br /> Other Other: <br /> WELL INTEGRITY: rrl�- LOCK:��— <br /> REMARKS: <br /> LJTime: 6`7�� Meter Serial No.:PH.E.C..Temp.Meter Calibration:Date: r <br /> E.C. 1040 ! PH 7 ! pH 14 1 PH 4 <br /> Temperature*F <br /> SIGNATURE: - -r--,— <br /> REVIEWED BY: PAGE— OF _ <br />