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I <br /> WATER SAMPLE FIELD DATA SHEET Rev 1/92 <br /> PROJECT NO C& I'v S( f SAMPLE ID ���' �� ' <br /> t , <br /> EMCASSOCION PURGED BY ` ✓��"' CLIENT NAME <br /> I <br /> SAMPLED BY LOCATION 0"L-1 ' <br /> ca <br /> TYPE Ground Water f Surface Water Leachate Other <br /> CASING DIAMETER (inches) 2 3 4I—C 4 5 6 Other <br /> CASING ELEVATION (feet/MSL) VOLUME IN CASING (gal ) <br /> DEPTH OF WELL (feet) _( � CALCULATED PURGE (gal ) �4•_ _. <br /> DEPTH TO WATER (feet) ACTUAL PURGE VOL (gal ) <br /> I <br /> PATE PURGED ea � 3 End Purge <br /> DATE SAMPLED Sampling Time 11 ii S <br /> TIME VOLUME PH E C TEMPERATURE COLOR TURBIDITY <br /> I (24 r) gai�,n, {�nhos/cm25-C) (*F) (v,suaitcoball) `` w <br /> (v,sual/NTU) <br /> L G--7. ' J.k�4,41 C 0 J <br /> t 4v Ltea.IT <br /> / .c. 41 -1 <br /> It 4j.; 43>'67, 0 G—ZZ5' U 44-Z_- Ld 4-- <br /> + y <br /> ,jam n '39 <br /> OTHER x_'7(1 V` `T ( ODOR <br /> T -� i_T 0-100) (NTU 0 200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (1 9 FB-1, X-DUP-1) <br /> PjjRGING EQUIEMENT <br /> 2"Bladder Pump Bailer(Teflon®) 2"Bladder Pump Bailer(Teflon®) <br /> Centrifugal Pump Baiter(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Sailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizardti Dedicated Well WlzardM Dedicated <br /> C Cher Other <br /> WELL INTEGRITY � ( ( Lt t� LOCK# <br /> REMARKS <br /> pH EC Tr ClIal r Date Time " 7 w <br /> 7777 <br /> EC 1000 =) ��� V pH7� pH 10 l��+ pH ,&'t" <br /> Temperature °F <br /> Signature Reviewed By Page of <br />