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Rev 1192 <br /> WATER SAMPLE FIELD DATA SHEET <br /> V :7ROJECT .'O r' <br /> SAMPLE _Z� <br /> EMCON =URGED BY r"l L"fA_LuL CLIENT NAME ��-3 <br /> SAMPLED BY ! LOCATION' 1.7 --,-r <br /> Lrouna Water `�- Surface Water !! Leacnate Other <br /> C-SING DIAMETER (Incnesl ? 3 "L 1 1 5 <br /> Other <br /> ..SING ELEVATION (feet/MSL) VOLUME IN CASING <br /> jai.) <br /> DEPTH OF WELL ;feet} �2, l <br /> CALCULATED PURGE Tat ) .� <br /> DEPTH TO WATER (feet) i�� t ACTUAL PURGE .OL ;gal ) 1 �t <br /> DATE PURGE? 7 ` End Purge _ f L L 2 <br /> .ATE SAMPLE;] 7 <br /> Samoont7 i ime <br /> _ 11E VOLUME pH E C i EMPEPATUR= -ZLOR <br /> =-00 H(`rl,, aGL (units) fPmnos c:mmw 25' C) TURBIDITY <br /> �SlL_Lyl {� ('}) �waulcooalil (vlsuaUNTU) <br /> 47-1 <br /> 1 <br /> DTHER r'W 2 ODOR cy- tfA OV <br /> 1/3 tc_PALT o100) iNTUd <br /> = <br /> ELI) OC SAMPLES COLLECTED AT THIS WELL 0 a FB 1 X DUP 11 <br /> P I C M 1",,G ;=-_t M <br /> FN <br /> 2 Bladder Pump Bailer jeflonQp) 2'Bladder Pumo a <br /> �, elar 1 Tefltxn�) <br /> enttetugat Pumo 9,wr 1pVC) Bramb SamptQf <br /> 3atlsr 15 talrtlostt Sl6al) <br /> Submerstote Pump Bailer(Stainless Steel) Dipper Subrnemole Pump <br /> Nell Wizamr" Dedicated well Wlzardrw Dedlcatea <br /> ...`er <br /> Other <br /> W ELL INTEGRITY LOCK# U <br /> pFzA A lnKL- f fF-+ <br /> t ' 1 L t q♦1 <br /> Fr == -amp Meter Calibration Dale 1� Time `tater Serval No <br /> Te^neraturr 'F1 <br /> 71 P& <br /> Revlewea 8y r?4e of <br /> u <br />