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WATER SAMPLE FIELD DATA SHEET C Rev 1192 <br /> 00 PROJECT NO lelI-0 l' SAMPLE ID N "r <br /> ESMON CON PURGED BY <br /> I C t V�� CLIENT NAME ( C+) <br /> SAMPLED BY LOCATION L"�)b I <br /> TYPE Ground Water -'f- Surf ce Water Leachate Other <br /> CASING DIAMETER(inches) 2 3 4 4 5 6 Other <br /> CASING ELEVATION(feet/MSL) VOLUME IN CASING (gal) 1 , <br /> DEPTH OF WELL (feet) CALCULATED PURGE (gal) 3 <br /> DEPTH TO WATER (feet) ACTUAL PURGE VOL (gal) 2- <br /> DATE PURGED u 'i End Purge �Z3 <br /> DATE SAMPLED IV <br /> Sampling Time 1335 <br /> TIME VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> azo" <br /> r (},mh � Q 250 C) F)�i (vtsuaUooball) F(_(��IINTtJ) , <br /> (Jv} � V1 <br /> h <br /> �� V•�i __ �4- '1�1.� �_ ted fit' <br /> OTHER �� { ODOR <br /> (CO LT 0.100) (MTU 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (I a FB-1,X-DUP-1) <br /> 2'Bladder Pump Sailer(Tenons) 2'Bladder Pump Baller(Teflon®) <br /> - <br /> Centrifugal Pump Baiter(PVC) Bomb sampler Barley(Stainless Susi) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wzardry Dedicated well wizardru Dedicated <br /> Other Other <br /> WELL INTECC <br /> R�c.VtR S 3 � 3rs 3`Z3• t Cdl <br /> L IS --, <br /> PH E C,Temp Meter Calibration Gate Time Meter Serial No <br /> . E C 1000 L pH pH 10 <br /> AH 4 � <br /> Temperature °F <br /> Signature t <br /> Reviewed By Page �_ of -.=[_ <br />