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�1 WATER SAMPLE FIELD DATA SHEET Rev 1/92 <br /> U* PROJECT NO � �l SAMPLE ID F, 3 <br /> EMCON PURGED BY CLIENT NAME +'� Z153 <br /> ASSOCIATES /�� <br /> SAMPLED BY 1 '� C�'1G LOCATION <br /> TYPE Ground Water `-'? Surface Water Leachate Other <br /> CASING DIAMETER (incites) 2 3 4 4 5 6 Other <br /> CASING ELEVATION (feeVMSL) VOLUME IN CASING (gal ) <br /> DEPTH OF WELL (feet) CALCULATED PURGE <br /> DEPTH TO WATER (feet) G r ACTUAL_ PURGE VOL (gal ) <br /> DATE PURGED End Burge <br /> DATE SAMPLED Sampling Time <br /> TIME VOLUME pH E C TEMPERATURE CO TURBIDITY <br /> (2400 Hr) (gall (units) (pmhos/cm@ 25°C) (°F) (vi cobalt) (visual/NTU) <br /> OTHER ODOR <br /> (coBa,LTo-loo) (NTuo-zoo) <br /> FIELD OC SAMPLES COLLECTED THIS WELL (i a F13-1, X-DUP-1) <br /> SAMPLING EQUIPMENT <br /> 2'Bladder Pump Bailer(Teflon(&) 2'Bladder Pump Bailer(Teflon®) <br /> Centntugal P p Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Subme le Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> W Wizardrm Dedicated Well Wizardrm Dedicated <br /> Oth Other <br /> WELL INTEGRITY <br /> c9� LOCK is <br /> REMARKS ! 0 C''&wo U <br /> pH E C,Temp Meter Calibration Date Time Meter Serial No <br /> E C 1000 pH 7 / pH 10 / pH 4 <br /> Temperature ° F <br /> Signature Reviewed By Page of �� <br />