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SEAC012 <br /> WATER SAMPLE FIELD DATA SHEET <br /> PROJECT NO: WELL ID: <br /> u <br /> Ct;]`}- C ,} •' L SAMPLE 1D: � 3rk 11Li7 <br /> URGED I3 Y: t ;� i <br /> iAMPLED BY: CLIENT NAME: <br /> t — - <br /> LOCATION: 4 <br /> I'YPE: Groundwater Surface Water Treatment Effluent Other <br /> :�ASING DIAMETER (inches): 2 3 4 4.5 6 Other <br /> CASING ELEVATION: (feet/MSL): `J VOLUME IN CASING (gaL) <br /> DEPTH TO WATER (feet): u CALCULATED PURGE (gal.) 1� icy <br /> DEPTH OF WELL (feet): ACTUAL PURGE VOL (gal-) <br /> SATE PURGED: it Z = 2 Stan (2400 Hr) _A) i Ac) End (2400 Hr.) <br /> )ATE SAMPLED: ? Stan (2400 Hr) =` End (2400 Hr.) ?I kg— <br /> MELD QC SAMPLES COLLECTED AT THIS WELL (Le. F$-1, X-DUP-1): <br /> FIELD MEASUREMENTS <br /> TIM00) <br /> E VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY -(Pat) (units) (umbos/cm925'C) (•7) (vis"" <br /> _ 15 <br /> D.O. (ppm): COLOR, COBALT(0-100).- <br /> ODOR- <br /> 0-100):ODOR: ,v`,'� Yellow <br /> PURGING EQUIPMENT SAMPLING E UTPMENT <br /> 2"Bladder Pump Bailcr(Tet]on(&) z Bladder Pump t� g= ,�eQoo�? <br /> Centrifugal Pump )C Bailer(PVC) DDL Sampler f 13aikr(PVGdisposable) <br /> — Submersible Pump Bailer(Stainless Steel) Submers�bk Pump P � Bailer(Stainless Siee]) <br /> Wcl1 Wi7ardT`a Dedicated Wel]WivZ-d*v Dcdicitcd <br /> Other. <br /> Other: <br /> JELL INTEGRITY: LOCK #: <br /> FjjW{ - <br /> � �� ;-moi ai s r.�if73'; :�„i'; It-•., i!': 'f� �1' �, ."tib t�.` <br /> /t <br /> i <br /> F <br /> �GNATURL: Page of i <br />