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WATER SAMPLE FIELD DATA SHEET Rev 1192 <br /> PROJECT NO. I rG3�-d <br /> - SAMPLE ID. -'SCSS <br /> SS CON PURGED BY 1 A-G 4rn S CLIENT NAME. GO Z 1 6 e <br /> SAMPLED BYLOCATION '1061�7` <br /> TYPE Ground Water Surface Water Leachate _ Other <br /> CASING DIAMETER (inches) 2 3 4j:_ 4 5 fi Other <br /> CASING ELEVATION (feet/MSL) VOLUME IN CASING (gal) f-2 + Z <br /> DEPTH OF WELL (feet) .56 ,U CALCULATED PURGE (gal.) G <br /> DEPTH TO WATER (feet) 37'3y ACTUAL PURGE VOL. (gat.) 3(flY <br /> DATE PURGED [�1I�? End Purge 1 363 <br /> DATE SAMPLED Sampling Time ! _�6;I <br /> �7TIMME VOLUME pH EC TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr)G Co I( 11b3 @ 2S�'C) -7 � r (yi �oobalfalt) (visuauNtu) <br /> 1363 6-1 L <br /> OTHER ODOR T <br /> (Co T 0-100) (r 0-200) <br /> FIELD CIC SAMPLES COLLECTED AT THIS WELL (ie FB-1,X-OUP-1) <br /> Pjj8GING EQ«IPMENT SAMPLING FQJJIEMENT <br /> 2'Bladder Pump Bailer(Teflon®) r Bladder Pump Bailer(Teflorm) <br /> Centrilugal Pump Bader(PVC) <br /> lc Bomb Sampo Bailer(Stainless Steel) <br /> Submersible Pump Bader(Stainless Steel) Dipper Submersible Pump <br /> Well Wizards+ Dedicated well wizard++ Dedicated <br /> Other Other <br /> WELL INTEGRITY - l6r r-P_0d/I LOCK# <br /> REMARKS <br /> pH E C Temp Meter Calibratton Data Time Meter Serial No <br /> E C 1000 4- pH 7pH 10 <br /> I pH 4 <br /> Temperature °F <br /> 1. <br /> Signature <br /> --- Reviewed Sy: Page of <br />