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WATER SAMPLE FIELD DATA SHEET Rev 192 <br /> 1WPROJECT NO v v 1- ` ' SAMPLE ID ' <br /> EMCON PURGED BY �''! . -= CLIENT NAME. <br /> SAMPLED BY LOCATION <br /> TYPE Ground Water "— Surface Water Leachate Other <br /> CASING DIAMETER(inches) 2,.,`" 3 — -1 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) 7Y ACTUAL PURGE VOL (gal,) �= U <br /> ' 77 <br /> DATE PURGED b End Purge <br /> DATE SAMPLED + Sampling Time <br /> TIME pH E C TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) VOLUME 4Aq <br /> niis) (Wnitaslcrn*2S•C) (•F) (YWANCOMR) ( suauNTU) <br /> gal y <br /> X21 <br /> OTHER COCA No O'o^ , <br /> (coBAL� To-"-loo) (wTu 0 moo) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (I a FB-1,X-DUP-1) <br /> PURGING EQUIPMENT SAMPLING E:QUIEMENT <br /> 2'Bladder Pump Bwler(TeflonS) 2'Bladder Pump Bader(Teflon®) <br /> Cenvdugal Pump Bailer(PVC) Bomb Sampler Balms IStaatless Steel► <br /> Submersible Pump Bader(Stainless Steell Dipper Submersible Pump <br /> well wizard- 0earatea Well Wrzard*r Cedx:ateo <br /> Cther Cttser <br /> WELL INTEGRITY { — LOCK is <br /> REMARKS <br /> pH E C Temp Meter cal wauon Gate Time Veter Serial No <br /> EC 1000 —' pH pH 10 i pHA <br /> Temperature °F <br /> --- <br /> Signature _�,r,� - Reviewed By Page of <br />