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•i a a <br /> • WATER SAMPLE FIELD DATA SHEET Rev. 1/92 <br /> W PROJECT NO 7 5- . O <br /> SAMPLE ED W+lv <br /> CON P <br /> 9SOC t 1? BY S CLIENT NAME 3�- <br /> • <br /> SAMPLED BY LOCATION 1-4)1 <br /> TYPE Grouna Water Z5 Surface Water Leachate Other <br /> CASING DIAMETER (Inches) 2 3 4 4 5 6 Other <br /> CASING ELEVATION (feevMSL) VOLUME IN CASING (gal,) <br /> DEPTH OF WELL (feet) CALCULATED PURGE (gal ) <br /> DEPTH TO WATER (feet) ACTUAL PURGE VOL (gal ) <br /> DATE P4 'Z 19 S Grid Purge <br /> DATE SAMPLED Sampling Time <br /> TIME; VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> ,2366 Hr) (units) (lunhos/cm(a)25°C <br /> (gat� ) (°F} (vlsuaUcobalt) (vlsuallNTU) <br /> OTHER O R <br /> {CpE3AlT o-1 p (!V�iU�p.2op) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (I a F13-1, X-DUP-1) <br /> P <br /> 2'Bladder Pump Bader!T ®1 2'131adder Pump Bailer(Tenons <br /> Centrifugal Pump oiler f PVC} Bomb Sampler _ Ballet(STai Steel) <br /> Submersiole Pu Bailer(Stainless Steell pEpp� metalble Pump <br /> Well WI Dedicated <br /> Well Wizard- Dedipte0 <br /> Other Other <br /> WELL INTEGRITY LOCK tf <br /> REMARKS <br /> CuW r L -rg <br /> Sj <br /> r PAC u - ,e <br /> GtMS "' atom+ <br /> 5t. 1,CK&Cc. hCu .,p,.AS. -T1 SChue CVN ,rnC..e R'1.e %)A�jl %4rc3ks 1►lac 4 Sha•+►1 �k o <br /> pH E C Temp Meter Calibration Date Time Meter Serial No <br /> E C 1060 4� pH 7 pH 14 , H b <br /> Temperature ° F <br /> SignatureLo— <br /> Reviewed By Pegg of __� <br />