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WATER SAMPLE FIELD DATA SHEET Rev 192 <br /> PROJECT NO: y U f SAMPLE ID. '- (-7'y ' ) <br /> EMCON PURGED BY' a=j n CLIENT NAME. _ cu 2 r 3U <br /> ASSOCIATE$ - - - <br /> SAMPLED BY* LOCATION- P 1 AWvtySr <br /> TYPE Ground Water k' Surface Water Leachate Other <br /> CASING DIAMETER (inches) 2— 3 4 .:�E-- 4 5 6 Other <br /> CASING ELEVATION(feet[MSL7 VOLUME IN CASING (gal.) --, <br /> DEPTH OF WELL (feet) _ 7 CALCULATED PURGE (gal ) Z-•`y <br /> DEPTH TO WATER (feet) G 3 ACTUAL PURGE VOL (gal.) r L u <br /> DATE PURGED -L�w�5 End Purge !ZUf <br /> DATE SAMPLED _ Sampling Time _ I ZZ5` <br /> TIME VOLUME pH EC TEMPERATURE COLOR TURBIDITY <br /> (2400 HO ( �1/ (unim) WM081C n@ 25•C) (•F) (nsuaUpooalt) (wsuaUNTU) <br /> OTHER ��,,,.. ODOR <br /> (c LAo� T a 100) JATU 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (Le FB-1,X-OUP-1) <br /> PURGING EOUIP-MENT SAMELING EQUIPMENT <br /> r Bladder Pump ea, (Tenon) r Bladder Purnp Bailer(Tellwm <br /> �r Centntugai Pump Mier(PVC) Bomb Sampler ftler(Stainless Steel) <br /> Submersible Pump Bader(SL%nless Steel) Dipper Submeruoie Pump <br /> well wzard'm Cedicated Well Wizard- Ced+cated <br /> Other Other <br /> WELL INTEGRITY -' V-e-fS r4 jb-o � LOCK 8• 3�� <br /> REMARKS ! e <br /> �3a ` 17-11 _ <br /> pH.E C.Temp AAewer Calibration Date Tuns Mater Serial N0.. <br /> E C 1000 pH 7 pH 10 pM 4 <br /> Temommie °FF <br /> Signature*`,�^..., - - — Reviewed By: Page .�.�I of <br />