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WATER SAMPLE FIELD DATA SHEET Rev 1192 <br /> PROJECT NO &I I-ZCI ')! SAMPLE ID VVA4J'Z <br /> EMCON PURGED BY 'Cll G CLIENT NAME Lo*�-Z[3 4 <br /> •ffOGIATif <br /> SAMPLED BY LOCATION K--�J� <br /> TYPE Ground Water Surface Water 4�0`ate Other <br /> CASING DIAMETER(inches) 2 3 4 4 5 6 Other <br /> CASING ELEVATION(teevMSL) <br /> VOLUME IN CASING (gal.) : V-71DEPTH OF WELL (test) : 7 •0 CALCULATED PURGE (yaL) . 3 0' U <br /> I <br /> DEPTH To WATER (teat) U 3 'LL U ACTUAL PURGE VOL. (qaL) <br /> DATE PURGED -7q Z End Pure 3 0 <br /> DATE SAMPLED k Samp&V Time 3 <br /> I <br /> TIMEVOLUME pH I—c. TEMPERATURE COLOR TURBIDITY <br /> (2400 1*1 <br /> -7(%01t W s,W- mmk"10 25*C) cvwmvmm <br /> � -7.(} �T.U �, 19J <br /> 13Z4- cj 3cl -77.4 .�� <br /> L3 gt ZZ -73. 30/ <br /> -7 z ' pt: �— <br /> OTHERo <br /> G? — ( T 0.100) (NM—20D)a <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (Le.FG-1,X-DUP-1) ._ ... <br /> SAMPLING <br />! Y Btaddar Fume Baifar(Tefic ne) r 2taddor No. Bafbr(Tekn0l) <br /> Bader(PVC) Barb Sampler Ballot(St**Ns SUN) <br /> Centrrlugal Pump Z' <br /> Submersible Pump saw(Sta{nb m Stall) DWW _� 5ubn+ars�ls a ump <br /> wen wizard"e — Dedcatad WOU Wirardfa Dedtaad <br />' orw ot�ar <br /> l�V tri CL LOCK a •32�� <br /> WELL INTEGWTY:J IAXl CA+- L L5-'K j3Z5• <br /> A • a <br /> PH.e 0,Temp.WOW CapmasorL Oats: Tkm Meter eerW Na. <br /> E.0 1000 _4__pH 7 pH to�l PN 4 <br /> Temperasms °F <br /> i Signature: Reviewed By: Paye Of 3'� <br />