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I <br /> WATER SAMPLE FIELD DATA SHEET Rev t '2 <br /> V PROJECT NO N SAMPLE ID <br /> EMCON PURGED BY t CLIENT NAME <br /> •ssoc,•rEs — <br /> SAMPLED BY (, LOCATION <br /> TYPE Ground Water _ Surface Water Leachate Other <br /> CASING DIAMETER (Inches) 2 3 4 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) ' _ ACTUAL PURGE VOL (gal ) <br /> I <br /> DATE PURGED End Purge <br /> DATE SAMPLED _ Sampling Time J " <br /> TIME VOLUME PH E C TEMPERATURE COLOR TURBIDITY <br /> I (2400 lir) al (units) (Whos/crtsCED 250 C) (°F) (visuailaobait) (v,sual/4NTU) <br /> < < �u (,fir- ► �I..., ,-- L�,� <br /> OTHER ODOR C <br /> (COBALT 0-100) (NTUO-200) <br /> I <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (I a FB-1, X-DUP-1) <br /> PURGING_EQUIPMENT SAMPLING EOUIPMaa <br /> 2'Bladder Pump Bailer(Teflon(g} 2'Bladder Pump y Bailer(Teflon®) <br /> I Centrifugal Pump Sailer(PVC) Bomb Sampler Baler(Stainless Steel) <br /> Submersible Pump Baler(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard ' Dedicated Well Wizards Dedicated <br /> Other Other <br /> WELL INTEGRITY +' ,/-�� l• ��`l LOCK# <br /> REMARKS <br /> pH, E C Temp Meter Calibration Datef ;^; Time `y ' Meter Serial No <br /> � r i <br /> EC 1000 1,11F- 4 pH 7 pH 10 �c , I 1 pH 4 '3 3 r <br /> 10 Temperature ° F 2-2 <br /> Signature F=�2 SG Reviewed By Page of <br /> i <br />