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WATER SAMPLE FIELD DATA SHEE 1' Rev. 1192 <br /> PROJECT NO: SAMPLE ID. <br /> PURGM BY- CLIENT NAME. <br /> SAMPLED BY: LOCATION: <br /> TYPE- Ground Water . 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) • CALCULATED PURGE (gal.) . <br /> DEPTH TO WATER (feet) ACTUAL PURGE VOL (gal.) <br /> DATE PURGED. End Purge <br /> DATE SAMPLED. Sarnmina Time <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> 12400 Kr) (ams (unml (s can as•C) (•F) (rnrrrautmsal I�►w.u+rrul <br /> OTHER ODOR <br /> (COBALT 0-100) (N �ZGDa <br /> FIELD CIC SAMPLES COLLECTED AT THIS WELL (I e. FB-1, X-DUP-1) <br /> PURGING EQUIPMENT SAMPt-ING n <br /> Bladder Puma Baller i ren°nai r Bladder Pump _.,.. Bailer i renaml <br /> Centrmsgm Puma . Bailer,PVC) Barb Sampler �..� Balker(S!alnla 6000 <br /> SubmenMble Puma s Batter 4smk l Swell - Dipper Submererele Pumnp <br /> Web wtzard*r Dedlramd , WON wbandl" — 0edicaud <br /> ower Qom. <br /> WELL INTEGRITYLOCKS , <br /> REMARKS. <br /> pH.E.0.Temp.Malar Calibramm 0aw: Malar Serial Na: <br /> EC 1000 <br /> Temperm= ° F <br /> SIGNATURE Reviewed by: Page of <br /> EMCON <br /> Associates WATER SAMPLE FIELD DATA SHEET Aw2l <br />