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Ut,-a-,a�lft WATER SAMPLE FIELD DATA SHEET Rev 192 <br /> ?z PROJECT NO SAMPLE ID MIX-) (SLI, <br /> I� EMCONc zl b5- <br /> ASSOCIATES PURGED BY ,� G! f/�-CGn7. n CLIENT NAME .!�-Cv <br /> SAMPLED BY u' LOCATION <br /> TYPE Ground Waterer Surface Water Leachate Other <br /> I CASING DIAMETER (Inches) 2 3 4�= 4 5 fi Other <br /> CASING ELEVATION (feeVMSL) VOLUME IN CASING (gal) <br /> DEPTH OF WELL (feet) -, �' CALCULATED PURGE (gal ) <br /> 1 <br /> DEPTH TO WATER (feet) 750' -5�X ACTUAL PURGE VOL (gal ) <br /> DATE PURGED to /z,3 End Purge - <br /> DATE SAMPLED IL, - Sampling Time 2-1 <br /> 1 TIME VOLUME pH EC TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) (gal (units) (VmhoslcmC&25-C) (-F) (visuaUcobalt) (visuallNTU) <br /> 1 z Z3 1 U 5 -7-31 'Zai G 3• 1 1 vw <br /> t a3( 3 ) 5 + 13 ZCCV3 --7-2 v <br /> I� <br /> OTHER ODOR f7l�G r <br /> 1 (COBALT 0-100) (NTU 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (t 6 FB-1, X-OUP-1) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 1 2'Bladder Pump Bailer(Teflon®) 2-Bladder Pump Basler(Teflon%) <br /> Centrifugal Pump Bauer(PVC) Bomb Sampler Sayler(Stainless Steel) <br /> _42'Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wlzardrm Dedicated Weil Wizardm Dedicated <br /> Other Other <br /> WELL INTEGRITY LOCK# <br /> REMARKS <br /> 1 PH, E C Temp Meter Calibration Date Time Irleter Serial No <br /> E C 1000 L ,. pH 7 pH 10 1 pH 4 <br /> Temperature ° F <br /> Signature .J �`"��—� .. } <br /> Reviewed By Page Of <br /> 1 � <br />