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WATER SAMPLE FIELD DATA SHEET Rev. 1; <br /> PROJECT NO LA-0 �, L SAMPLE ID wJ �-- CSL+) <br /> PURGED BY ti CLIENT NAME Lf(a <br /> OWT SAMPLED BY LOCATION <br /> TYPE Groundwater Surface Water Leachate Other <br /> CASING DIAMETER(inches) 2 3 4 45 5 Other <br /> CASING ELEVATION(feet/MSL) VOLUME IN CASING(gal) <br /> DEPTH OF WELL(feet) �3r CALCULATED PURGE(gal) �0 G-� <br /> DEPT TO WATER(feet) 7-013 Sl ACTUAL PURGE VOL (gal) <br /> DATE PURGED 2.r END PURGE r >rq <br /> DATE SAMPLED SAMPLING TIME /(0 3 7 <br /> TIME VOLUME pH E C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR} (gal.) (uturs) (Pmhos/cm0025'c) ('F) (visual) (casual) <br /> 40 fr <br /> . cry- <br /> OTHER DOOR � I <br /> (COBALTa loo (rlT1l aaoa) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(r a FB-l.XDUP-1) <br /> PURGING EQUTPMR SAMPLINGLOUIPMENT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Boil (Stateless Steel) <br /> Submersible Pump Bailer(Stamkss Steel) Dipper Subm—ible Pump <br /> Weil Wrzard8 Dedicated Well Wizardo Dedmtcd <br /> Other• Ott. <br /> WELL INTEGRITY LOCK. <br /> REMARKS <br /> pH.TIC Temp MeterCaIrbmuon. Date. <br /> E-C, 1000 J pH71 pH 0 ! pH 4 / <br /> • Temperature°F <br /> SIGNATURE REVIEWED BY PAGE <�! OF - <br />