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WATER SAMPLE FIELD DATA SHEET 'ev 1 3i90 <br /> PROJECT NO SAMPLE ID <br /> PURGED BY CLIENT NAME <br /> SAMPLED BY LOCATION <br /> TYPE Ground water Surface Water Treatment Effluent Other <br /> CASING DIAMETER (inches) 2 3 4 4 5 6 Other <br /> CASING ELEVATION (feet/MSL) VOLUME IN CASING (gal ) <br /> IDEPTH TO WATER (feet) CALCULATED PURGE (gal ) <br /> DEPTH OF WELL (feet) ACTUAL PURGE VOL (gal ) <br /> DATE PURGED Start(2400) End(2400) <br />' DATE SAMPLED Start(2400) End(2400) <br /> TIME VOLUME pH EC TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) (gat) (units) (pmhos/am@ 25•C) (•F} (visual) (visual) <br /> D O (ppm) ODOR (COBALT 0-100) (N azo-) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (l 9 FB-1, X-DUP-1) <br /> PURGING EQUIPME SAMPLING EQUIPMENT <br /> r Bladder Pump Beller(To") 2'Bladder Pump Bodw(Tellon111111) <br /> Centrdugai Pump — Bailor(PVC) DDL Sampler Bailor 1Stard"s Saw) <br /> Submersible Pump Bailor(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard^ Dedicated — Wed Wbwdfm Dodkmwd <br /> Otter other <br /> WELL INTEGRITY LOCK of <br /> REMARKS <br /> MeterCahbrabon Date TkW Meter Serial 7artiperas+rs �--- <br /> (EC 1000 1 (DI H2O )(pH 7 }(DM 10 / )(pH 4 1 ) <br />' SIGNATURE Reviewed by: <br /> E M c o N FlGtJRt: <br /> WATER SAMPLE FIELD DATA SHEET <br /> Associates B-2 <br /> 1 <br /> 1 <br />