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WATER SAMPLE FIELD DATA SHEET Rev 1/92 <br /> PROJECT NO / -G 1 <br /> SAMPLE 1D <br /> N 1S ?y <br /> ASSOCEATESON <br /> COPURGED BY S C.¢G „� i CLIENT NAME l 2 p <br /> SAMPLED BY LOCATION C <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 ) 3 G <br /> DEPTH OF WELL (feet) CALCULATED PURGE (gat ) <br /> DEPTH TO WATER (feet) �! ACTUAL PURGE VOL (gal ) `G <br /> DATE PURGED IG�Z�7 S End Purge l I17 <br /> DATE SAMPLED Sampling Time / /.23 <br /> TIME VOLUME pH EC TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) al (units) (µmhos/cmC&25°C) eF <br /> o b -6 --715, <br /> 15, p ( ) (visual/cobalt) (vlsuatrNTU) <br /> job <br /> 6 �1 &Nn 2` <br /> _ � - -_ <br /> m/7 'F-0 7 ► 3 Z3�a �y,U <br /> 7: <br /> OTHER__ ODORoyv � <br /> (C08 LA r Q t00} (WU p 240) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (i e FB-1 X DUP-1) <br /> PURGING E [PMENT EQUIPMENTSAMPLING <br /> 2' Bladder Pump Bailer(Teilonel9) 2'Bladder Pump �2�- -Sailer(Tenon®) <br /> Gentritugal Pump —,2� Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Smniess Steel) Dipper Submersible Pump <br /> Well WizardT" Dedicated Well Wizards" <br /> Dedicated <br /> Other Other <br /> WELL INTEGRITY 6: C I ,,(f /3dX R„C LOCK # OWC-( <br /> REMARKS k,r'S /' <br /> pH EC Temp Meter Calibration Date Time Meter Serial No <br /> E C 1040 / pH 7 pH 10 / pH 4 <br /> Temoerature ° F <br /> Signature Reviewed 8 ' Z <br /> Y Page of <br />