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WATER SAMPLE FIELD DATA SHEET Rev ,is <br /> PROJECT NO 217 1 '_�L.7�-(>O)-, SAMPLE ID _ AA tJ! rya <br /> PURGED BY CLIENT NAME <br /> QWT SAMPLED BY LOCATION <br /> TYPE Groundwater Surface Water Lcachate Other <br /> CASING DIAMETER(inches) 3 3 4 4 5 6 Other <br /> CASING ELEVATION(feet/MSL) VOLUME IN CASING(gal) 2o() <br /> DEPTH OF WELL(feet) S .1 CALCULATED PURGE(gal ) 3 )— <br /> DEPTH TO WATER(feet) -X-Li O 6 ACTUAL PURGE VOL,(gal) 31A <br /> I., <br /> DATE PURGED 1' Y END PURGE <br /> DATE SAMPLED SAMPLING TIME p <br /> TIME VOLUME pH E C TEMPERATURE COLOR '[LrRB[DT[Y <br /> (2400 HR) (gaL:,) (atlas) (wnhos/=025°0 (°Fl (visual) <br /> (visual) <br /> Lot-) <br /> . OTHER ODOR S <br /> (COBALT ) (NTU 0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(t a 1713-1.XDUP-I) <br /> PLMMIQ EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Basler(Teflon) 2"Bladder Pump —2—Seader(Teflon) <br /> Centrifugal Pump Basler(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Subrnmib(e Pump Bailer(Stainless Steel) Dipper Subhisible Pump <br /> well WtzatdO Dedicated well Wizard() Dedicated <br /> Other Other <br /> WELL INTEGRITY__. C9 Q�� LOCK. <br /> REMARKS <br /> pH E.0 Temp Meter Calibration. Date I Time I'I Mew Serial No <br /> FcIwo `f�1' �. �-� l�oD p Zr� �•�� pH 10 �'i r OPU plta �QI <br /> Temperature°F �N <br /> SIGNATURE. REVIEWED BY/4, Z PAGE *_OF�` <br />