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WATER SAMPLE FIELD DATA SHEET <br /> PROJECT NO 21�Z���/Yl �`�' SAMPLE ID K 1/J`3 <br />. PURGED BY CLIENT NAME *�t.((o Y <br /> OWT SAMPLED BY LOCATION < J`' <br /> TYPE Groundwater Surface Water Leachate Other <br /> CASING DIAMETER(inches) 2 3 4 45 6 Other <br /> CASING ELEVATION(feet/MSL) VOLUME IN CASING(gaL) <br /> DEPTH OF WELL(feet) CALCULATED PURGE(gai ) <br /> DEPTH TO WATER(feet) ACTUAL PURGE VOL.(gal) <br /> DATE PURGED S LY. Q, END PURGE Z-I Y <br /> DATE SAMPLED SAMPLING TIME <br /> TIME VOLUME pH E G TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gnl.) (amts) (umhoskmC�25'0 CFl (visual) (visna)) <br /> . OTHER ODOR <br /> (COBALT 0- (NTU 0-200) <br /> FIELD QC SAMPLES COLLECTED ATTHIS WELL(i a FB-1.XDUP-I) <br /> PL($Q=EQUIPMENT SAMPLING EQUIPMENT <br /> 2-Bladder Pump Bailer(Teflon) 2`Bladder Pump / $oiler(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler --f—Bader(Stainless Stee)) <br /> r[ Submcrstblc Pumpoiler(Stmnicss Steel) Dipper ubmernbie Pump <br /> Well wizards Dedicated well Wizardd Dediearnd <br /> Other Other <br /> WELL INTEGRITY LOCK �• <br /> REMARKS I C L ) L9 G[) mac- �Jr <br /> LI! ,✓�� L c <br /> pH,E.0 Temp Meter Calibration. Date. Time Meter Serval No <br /> . E.0 1004 / pH 7 / p I0 pH 4 / <br /> Temperature*F <br /> SIGNATURE. / REVIEWED BY PAGE ✓ OF <br />