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WATER SAMPLE FIELD DATA SHEET Rev 1'92 <br /> PROJECT NO 6r <br /> EMCONSAMPLE ID. �Y > <br /> I ASSOCI.rgS PURGI~D8Y ��/¢Gl/)?"7�/7 / CLIENTNAME. " 21C3 <br /> SAMPLED BY b LOCATION <roc Y— <br /> TYPE Ground Water 2� Surface Water Leachate Other <br /> CASING DIAMETER (inches) 2 3 4-2f— 4 5 6 Other <br /> I <br /> CASING ELEVATION (feet/MSL) VOLUME IN CASING (gal.) <br /> DEPTH OF WELL (feet) ? �// CALCULATED PURGE (gal ) <br /> DEPTH TO WATER (feet) 3�"��o ACTUAL PURGE VOL (gal ) ! <br /> 1 <br /> DATE PURGED End Purge _ I <br /> DATE SAMPLED Sampling Time (J <br /> TIME VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> 1 (2400 J`1z,�Hr) gal) t (,uunhoslcm`@ 25°C} `-? (vi allcobait) (visa,avNTlf) <br /> — "13 i�o zU0 -73 1 tl�, <br /> OTHER ODOR - <br /> 1 (COBALT 0 too) 0-200) <br /> FIELD CC SAMPLES COLLECTED AT THIS WELL (i a 178-1, X-DUP-1) <br /> PURGtNC2 EQU1P.MF-N SAMPLING EQUIPMENT <br /> 2'Bladder Pump Bader(Teflon®) 2°Bladder Pump mailer(Teflonip) <br /> 1 Centrifugal Pump - PVC <br /> � ( ) Bomb Sampler Bailer(Stainless Steel) <br /> -ZSubmersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> well wizardTM Dedicated Well Wizards Dedicated <br /> Other Other <br /> WELL INTEGRITY �(UP131 //� LOCK <br /> REMARKS <br /> M PH £C Temp Meter Calibration Oate Time Meter Serial No <br /> . <br /> EC 1 coo �` pH7_i i - pH 10 I pH4 <br /> 1 <br /> Temoerature ° F <br /> Signature Reviewed By !Y Page Of � <br /> 1 <br />