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WATER SAMPLE FIELD DATA SHEET Rev 1192 <br /> W -7 PROJECT NO & J 9 ! SAMPLE ID J V <br /> EMCON PURGED BY (tit" CLIENT NAME <br /> ,ssocI.rEs y C <br /> SAMPLED BY i1 LOCATION <br /> TYPE Ground Water `e Surface Water Leachate _ Other <br /> CASING DIAMETER (inches) 2 3 4 4 5 6 Other <br /> CASING ELEVATION (feet/MSL) VOLUME IN CASING (gal ) <br /> DEPTH OF WELL (feet) Z CALCULATED PURGE (gal ) 3- <br /> DEPTH TO WATER (feet) ACTUAL PURGE VOL (gal ) 4 *0 <br /> DATE PURGED 2 017, End Purge 3 3 -a- <br /> DATE <br /> DATE SAMPLED Sampling Time _ 21S <br /> I <br /> ToM,E VOLUME pH EC. TEMPERATURE COLOR TURBIDITY <br /> 114 S?/ ( (un o )*925'C) -7 c) <br /> (wsuaurnban) r-11, } <br /> -41 1A <br /> r <br /> =OTHER - ' L4 —ODOR JA(A <br /> (COBALT 0-100) (NTU 0-200) <br /> —FIELD OC SAMPLES-COLLECTED-AT THIS WELL C e FB-1,X-DUP-1) <br /> PAGING EQUIPMENT _ <br /> r Bladder Pump Bader(Tenant) 2•Bladder Pump 9aller(Teftne) <br /> Centrdugai Pump Bader(PVC) Bomb Sampler Bailer(stamtess St") <br /> Submerstbie Pump Bailer(Stainless Steel) 04W Submersible Pwnp - <br /> Wei Wizard^ Dedicated _ Weil Wizardnd Dedicated <br /> Other Other <br /> WELL INTEL ITY N K z(%0 <br /> E A KS �� fnri K I ts, G , Wl.L <br /> '% t C <br /> pH,E C.Temp Meter Calibratlon Data Time Meter Serial No. <br /> E C 1000 pH 7 pH 10 pH 4 <br /> l ' <br /> Temperature °F <br /> Signature <br /> Reviewed By Page of <br />