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WATER SAMPLE FIELD DATA SHEET Rev 1/97 <br /> 1�a609 /4?03 <br /> PROJECT NO <br /> SAMPLE ID e <br /> PURGED BY CLIENT NAME <br /> OWT SAMPLED BY '� LOCATION (!,L <br /> TYPE Groundwater, Surface Water Leachate <br /> Other <br /> CASING DIAMETER(inches) 2 Lj 3 4 45 b Other <br /> CASING ELEVATION(feet/MSL) VOLUME IN CASING(gal ) <br /> DEPTH OF WELL(feet) 3 , CALCULATED PURGE(gal) q <br /> DCPTH OF WATER(feet) /Sr, �: _ AC'T'UAL PURGE VOL (gal) <br /> DATE PURGED — — / 9 END PURGE �Q s <br /> DATE SAMPLED SAMPLING TJME <br /> TIME VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal) (units) (pmhos/cm@25°e) ('F) <br /> / q (usual) (casual) <br /> OTHERn a <br /> y�� rte, ODOR _ n <br /> (COBALTO-loo) (NTJ0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i a FB-I,XDUP-1) <br /> PQRQING EQUIPMENT <br /> SA IPLINGE-MEMEN1 <br /> 2"Bladder Pump Bailer(Teflon) 2 Bladder Pump ��Sailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler P Sailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper PPe Submersible Pump <br /> Other Well Wizard6 Dedicated Well Wizarda <br /> Dedicated <br /> Other <br /> WELL INTEGRITY <br /> LOCK IQ <br /> REMARKS <br /> pH E C Temp Meter Cafibration Date j / /-� Time/ C_) -0 Meter Sena!No ' <br /> E C ]El(l) /yepH <br /> 7 f � ! C� pH pF! 10 O�' d / p <br /> pH 4 (O / � 0e) <br /> .75 <br /> TLintxr,iiurL°F , <br /> SIGNATURE _ REVIEWED BY PAGE` <br /> OF <br />