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WATER SAMPLE FIELD DATA SHEET Rev. 1/9 <br /> PROJECT NO: (� _ SAMPLE ID: -� <br /> . PURGED BY : CLIENT NAME: <br /> OWT SAMPLED BY: LOCATION: <br /> TYPE: Groundwater t. Surface Water Leachate Other <br /> CASING DIAMETER(incites): '_ .,,.-- 3 4 4.5 5 Other <br /> 'CASING ELEVATION(feet/MSL): ^ VOLUME IN CASING(gal.): _ <br /> DEPTH OF WELL(feet!: � CALCULATED PURGE(gal.). <br /> DEPTH TO WATER(feet):_ `��, �� ACTUAL PURGE VOL.(gal.): <br /> DATE PURGED: ts 5 END PURGE: <br /> DATE SAMPLED: SAMPLING TIME: <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR , TURBIDITY <br /> 42400 HR) gaf.l (units) (umhoalcmQ25°c) (°F) , (�i{fsual) +vu+uall� <br /> �2Sa �d :7_2'3S— <br /> 711�-L, -7. t3 1 sca Z,.2 -• R <br /> !2 it -n ` 7-&7 V' <br /> OTHER: ODOR: . <br /> (COBALT04DO) �ISi1J D 200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL( i.e.FB-1,XDUP-1): <br /> PLMGING EQUIPMENT SA{vfELILIG EQUIPMENT <br /> Z'Bladder Pump Bailer(Teflon) 2"Bladder Pump L,-Bailer(Teflon r <br /> f <br /> Centrifueal Pump Bailer(PVC) Bomb Sampler Baiter(Stainless Steel) <br /> .J,,.e_Submerstbie Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Wel)Wizand6 Dedicated Well WimrdO Dedicated <br /> Other: Ott: <br /> WELL INTEGRITY: 4' LOCK: A e- <br /> REMARKS: <br /> PH,E.C..Temp.Meter Calibration: Dau: 4,,eL.. /�( —� Time: Mau Serial No.: <br /> E.C. low; pH 7 ! pH l4 ! pH 4 / <br /> Temperature°F <br /> SIGNATURE REVIEWED BY:72ZL <br /> PAGE OF <br />