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/jjkjj1 WATER SAMPLE FIELD DATA SHEET :qev 1/92 <br /> PP--ECT NO U ) SAMPLE ID <br /> N <br /> SCO =_RGED BY -�r-�-Cmr�, ZCLIENT NAME <br /> . Soc ON <br /> SA"PLED BY _ LOCATION IIWr ,Q <br /> TYPE Ground W-ver7lsurface <br /> `Water Leachate Other <br /> CASING DIAMETER Aches) 2 3 4 45 _ 6 Other <br /> CASING ELEVAT CN (feet/MSL) VOLUME IN CASING (gal ) <br /> DEPTH C=WELL, (tees) o. CALCULATED PURGE (gal ) <br /> DEPTH TC ,'TATER (feet) __ 2P„ ACTUAL PURGE VOL (gal ) <br /> DATE PURGE 2 End Purge 1 Z7 <br /> DATE SAMPLEC Sampling Time <br /> TIME CLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) aai) (units) ()irnhos/cm@ 25°C) (° ) (visual/cobalt <br /> 1z1� 3U -7z3 S - <br /> OTHER ODOR <br /> (CO T 0-100) (N Q-200) <br /> FIELD OC SAMPL=3 COLLECTED AT THIS WE <br /> LsL (I a FB-1, X-DUP-1) <br /> PL1=3INQ EQUIPMENTSAMP I M <br /> ENI <br /> 2'Bladder PL.—o Bailer(Teflon) 2'Bladder Pump �'Barler(Teflon) <br /> Centrifugal P_'o ader(PVC) Bomb Sampler Bailer(Stairuess Steel) <br /> Submersiole =_^np Bader(Stainless Steel) Dipper Submersible Pump <br /> Well Wizards Dedicated well WizardTM Dedicated <br /> Other / Other <br /> WELL INTEGRITY f/t , tl r� /�c/ LOCK# *a-1 <br /> REMARKS <br /> pH F C Temp !leier = bration Date Time Meter Serial No <br /> EC 1000 pH 7 i pH 10 / pH 4 <br /> 10 <br /> Temperature ° F <br /> Signature Reviewed By Pae �, <br /> 8 of —�_ <br />