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WATER SAMPLE FIELD DATA SHEET Rev. 119 <br /> PROJECT NO: G mD$- oaf SAMPLE ID: <br /> iPURGED BY : n` CLIENT NAME: <br /> OWT SAMPLED BY : LOCATION: Lo,� <br /> TYPE: Groundwater .i Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 ✓ 3 l� 4 4.5 6 Other <br /> CASING ELEVATION(feet/MSL): VOLUME IN CASING(gal.): „ 75 <br /> DEPFH OF WELL.(feet): _b. CALCULATED PURGE(gal.): �P <br /> DEPTH TO WATER(feet) '?�_ (t ACTUAL PURGE VOL.(gal.): (Z. 0 <br /> DATE PURGED: L Z 4 END PURGE: 3 <br /> DATE SAMPLED. SAMPLING TIME:. <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (240014R) (gal.) (units) (lunhoslcm025'0 (°F) (visual) wlsual) <br /> d 0 <br /> OTH� ODOR: <br /> (COBALT 0.100) f\'LU(1-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e.FB-1,XDUP-1): <br /> SURGING EOUIPNIESAMPLING ECQLJIPNIFNT <br /> ?'Bladder Pump Bailer(Teflon) ?"Bladder Pump Bailer(Tetlonp <br /> Centhfud Pump Bailer(PVC) Bomb Sampler Bailer(Stainiess Steel) <br /> Submersible Pump Bailer(Stainless Steei) Dipper Submersible Pump <br /> Well Wizardo Dedicated Well WizardO Dedicated <br /> other. Other: <br /> WELL INTEGRITY: LOCK:J <br /> REMARKS: <br /> PH.E.C..Temp.Meter Calibration: Dau:se-c—/t S Time: Meter Serial No.: <br /> E.C. 1000 1 pH 7 / <br /> PH 10 / pH 4 <br /> Temperature OF <br /> SIGNATURE. + REVIEWED BY PAGE / OF- <br />