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WATER SAMPLE FIELD DATA SHEET Rev. 1/92 <br /> PROJECT NO: Elibl.�S SAMPLE ID: <br /> I1�lal 1F <br /> EMCATES 3 CLIENT NAME: <br /> SAMPLED BY: C LOCATION: Ci UGC( Z <br /> TYPE: Ground Water ~— SurfaceWater — Leachate Other <br /> CASING DIAMETER(inches): -2! 3_ 4 _ 4.5 _ 6 <br /> Other. <br /> CASING ELEVATION (feet/MSL) : VOLUME IN CASING (gat.) : <br /> DEPTH OF WELL (feet) CALCULATED PURGE (gal.) : <br /> DEPTH TO WATER (feet) : ) ACTUAL PURGE VOL (gal.) : <br /> DATE PLOn�".� <br /> End Purge <br /> DATE SAMPLED: Sampling Time <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR <br /> (2400 Hr) units TURBIDITY <br /> (units) (with @ 25'C) (•F) (visual/cobalt) (v4wyNTU) <br /> OTHER ODOR: <br /> (COBALT 0-100 (NIU 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (i.e. 178-1, X-DUP-1) <br /> PURGING EOUIPM NT SAMPLING FQIIIPMFNT <br /> — 2'Bladder Pump Ba (Teflon®) 2'Bladder Pump Bailer TeGone <br /> CLSubmersible <br /> fPump ( ) <br /> ailer(PVC) _ Bomb Sampler Sailer(Stainless Steel) <br /> PumpZ <br /> ailer is <br /> Steel) Dipper <br /> rd* Submerstle Pump <br /> etligted Well Wizarde+ Dedicated <br /> Other <br /> n 1 / Other: <br /> WELL INTEGRITY : /�Y/� 3�� r� /JGIfz LOCK tt : 1k7 <br /> REMARKS : / kL p1ti-! — Piz•/ <orntn lQ <br /> �I <br /> pH, E.C.,Temp. Meter Calibration: Date: <br /> E.C. 1000 Time: Meter Serial No.: — <br /> pH pH 10 <br /> pH 4 r <br /> Temperature ' F <br /> Signature: <br /> Reviewed By: - Page y of L/ <br />