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yRev 1192 <br /> WATER SAMPLE FIELD DATA SHEET <br /> PROJECT NO UU CJ y SAMPLE ID -Z <br /> E CON PURGED BY <br /> ASSOCIATES CLIENT NAME <br /> SAMPLED BY _OCATION <br /> TYPE Ground Water= Surface Water Leachate Other <br /> CASING DIAMETER(Inches) 2 3 4 4 5 6 Other <br /> CASING ELEVATION (feet/MSL) VOLUME IN CASING (gal ) <br /> DEPTH OF WELL (feet) _�-I�� CALCULATED PURGE (gal ) <br /> DEPTH TO WATER (feet) ACTUAL PURGE VOL (gal ) <br /> DATE PURGED ZEnd Purge `l� <br /> DATE SAMPLED Sampling Time <br /> TIME VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> 1240 0 Hr) — - units) {yunhosicm@ 25°C) °F} ) <br /> {gat) (wj�ua_Ucobalt) {visut�l/htTU <br /> 2.-u Z.?i 103 7 -7jJ-S_ �l- <br /> 17 (L y U �- �2 U 3 6� <br /> OTHER ODOR <br /> (COB9T 0 100) PM 0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL (I e FB-1, X DUP-11 I--,- <br /> PURGING EQU <br /> P R I IPM T SAMPLING-EQUIPMENT <br /> 2'Bladder Pump Bailer(Tellon�9) 2'S :oder Pump Bader(Teflon(&) <br /> Centrifugal Pump Bader(PVC) Borro Sampler Bailer(Slainless Steel) <br /> Submersible Pump Bader(Stainless Steel) 01ccer Submersible Pump <br /> Well WizarCJTM Dedreated Well .Vizardrm Dedicated <br /> Other I Other <br /> 9 r <br /> WELL INTEGRITY <br /> LOCK# <br /> REMARKS <br /> pH E C Temp Meter Calibration Date Time Meter Serial No <br /> E C 1000 1 pH 7 r pH 10 pH 4 <br /> Temoerature ° F <br /> Signature Reviewed By Page of <br />