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WATER SAMPLE FIELD DATA SHEET Rev 1 3/90 <br /> PROJECT NO SAMPLE 1D <br /> PURGED BY CLIENT NAME <br /> SAMPLED BY LOCATION <br /> TYPE Ground Water Surface Water Treatment Effluent Other <br /> CASING DIAMETER(inches). 2 3 4 4 5 6 Other <br /> CASING ELEVATION(feeVMSL) VOLUME IN CASING (gal ) <br /> DEPTH TO WATER (feet) CALCULATED PURGE (gal ) <br /> DEPTH OF WELL (feet) ACTUAL PURGE VOL (gal ) <br /> DATE PURGED End Pue!!�$ <br /> DATE SAMPLED (2 00 I�r) Timre� <br /> (2400 Hr) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (I a FB-1,X-DUP-1) , <br /> FIELD MEASUREMENTS <br /> TIME VOLUME pH EC TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) {gal) <br /> (urWs) {WnhoakrnO 25•C) (°F) (ureas!) {visual) <br /> i <br /> D O (ppm) COLOR,COBALT(0- 100) 0001, Heavy <br /> ODORTURBIDITY, NTU(0-200) Yellow Moderate ran <br /> &own Tran— <br /> AMPLING EOUfPMFNT <br /> r Bladder Pump Bailer(TwIll") r Bladder Pump Bailer(Tenene) <br /> Centrifugal Pump Barer(PVC) DDL Samples eager(Stainless steel) <br /> Submersible Pump Bailer(Starnes Steel) Dipper Submersible Pump <br /> Well WizardM Dedicawd well wizarcFM Dedicated <br /> other other <br /> WELL INTEGRITY LOCK# <br /> REMARKS <br /> SIGNATURE Checked by <br /> • o1 E M C 0 N RGURE <br /> Associa#es WATER SAMPLE HELD DATA SHEET A -2 <br />