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WATER SAMPLE FIELD DATA SHEET Rev 1/97 <br /> PROJECT NO ZI'27 �—a+- 003 SAMPLE ID Mt�J �� C43.3j <br /> PURGED BY WDrfoM CLIENT NAME _ <br /> � syr <br /> OWT SAMPLED BY LOCATION S <br /> TYPE Groundwater�C_ Surface Water Leachate Other <br /> CASING DIAMETER(Inches) 2 3 4�_ 45 6 Other <br /> CASING ELEVATION (feet/MSL) VOLUME IN CASING (gal) -2, <br /> DEPTH OF WELL(feet) .� CALCULATED PURGE(gal) (o?. <br /> DEPTH OF WATER (feet) gam ACTUAL PURGE VOL (gal) ir�I-D <br /> DATE PURGED END PURGE 13 Lt <br /> DATE SAMPLED SAMPLING TIME _ � <br /> TIME VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> (240o HR) (gal) (units) ;pmhoslcln(gD25°c) (°F) (visual) (visual) <br /> /!too <br /> OTHER G ODOR „j Q,nr L <br /> (COBALT 0-100) (per 0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(I a FB-1, XDUP-1) /! <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2”Bladder Pump Bader(Teflon) 2"Bladder Pump Bader(Teflon) <br /> Centrifugal Pump Bader(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> x Submersible Pump Bader(Stainless Steel) Dipper Submersible Pump <br /> Other icated <br /> Other <br /> Wi <br /> Well zard^+ Well zard** cated <br /> Other Wi <br /> WELL INTEGRITY 6,vo Cl LOCK <br /> REMARKS �T-- <br /> pH, E C,Temp Meter Calibration Date Time i o aj Meter Serial No ~'► (S f <br /> EC 1000 -01) 1 f.1)00 pH 7 pH 10__L0 1 10 L)� pH 4 4�'L 1 Z <br /> ti <br /> Temperature"F .3 <br /> SIGNATURE REVIEWED BY PAGE OF_ <br />