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WATER SAMPLE FIELD DATA SHEET Rev 1192 <br /> PROJECT NO SAMPLE SAMPLE ID <br /> EMCON PURGED BY J G.r�'- I v U0 <br /> I ASSOC[ATES CL ENT NAME <br /> SAMPLED BY LOCATION G <br /> TYPE Ground Water --I/— Surface Water Leachate Other <br /> CASING DIAMETER (Inches) 2 3 4 4 5 6 Other <br /> I I <br /> CASING ELEVATION (feet/MSL) VOLUME IN CASING (gal) ` s <br /> DEPTH OF WELL (feet) 3 CL�23 CALCULATED PURGE (gal) ' <br /> DEPTH TO WATER (feet) ACTUAL PURGE VOL (gal ) <br /> I <br /> DATE PURGED Ll 3 End Purge <br /> DATE SAMPLED Sampling Time b so <br /> TIME VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> r (2400 Hr (unit,j {µmh�Ojs/cm@25°C} (°F) (yisuallgabalt <br /> l l..t� l�a� l� <br /> lu Q-l 24,0U.z F:S� 2ci WrT4S� <br /> ICS �s�o � � 2� �� �q� <br /> � 4 <br /> OTHER 000>3 n 7 <br /> (CO ALTO-100) (NTU 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (I a FB-1, X-DUP-1) <br /> PURGING EQUIPMENT SAMPLING EQUIWENT <br /> 2'Bladder Pump Bailer(Teflon®) 2'Bladder Pump =2f Bailer{Teflon@) <br /> Centrifugal Pump jl Bailer(PVC) Bomb Sampler Bailer(Stainless Steely <br /> Submersible Pump Bader(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard- Dedicated Well Wizard^" Dedicated <br /> Other Other <br /> WELL INTEGRITY {S Ott! LOCK# � � <br /> REMARKS <br /> 1 pH E C ,Temp Meter Calibration Date lime %leter Serval No <br /> E C 1000 —1-- pH 7 pH 10 pH 4 <br /> Temperature ° F <br /> Signature. Reviewed By Page of <br /> 1 <br />