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WATER SAMPLE FIELD DATA SHEET Rev 172 <br /> PROJECT NO 'y SAMPLE ID. = 1 <br /> EMCON PURGED BY CLIENT NAME. • C v ' tom! <br /> •ssOCures • <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) <br /> VOLUME IN CASING (gal) <br /> DEPTH OF WELL (feet) ~ ? - CALCULATED PURGE (gat.) <br /> DEPTH TO WATER (feet) ' ^ ACTUAL PURGE VOL (gal ) <br /> DATE PURGED G `f �' End Purge <br /> f - <br /> DATE SAMPLED Sampling Time <br /> TIME VOLUME pH EC TEMPERATURE COLOR TURBIDITY <br /> (2400 lir) (gat (units) (l+m+l��+C&25'C) (•F) (NsuaYcobalt) (v+suaUNTU) <br /> ,tea, .• <br /> �r <br /> 615 <br /> OTHER ODOR r" <br /> (COBALT 0-100) (NTU0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (l a FB-1, X-DUP-1) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2'Bladder Pump Bailer{Teflon®} 2'Bladder Pump Bailer(Teflon®) <br /> Centrifugal Pump r Bader(PVC) Bomb Sampler w._ Bader(Stainless Steell <br /> Submersible Pump Bader(Stainless Steel) Dipper Submersible Pump <br /> Well wizardr" Dedicated _ Well W+zardr" Dedicarao <br /> Other Cther <br /> WELL INTEGRITY 11-" J' fir- i LOCK 8 � C' <br /> REMARKS <br /> pH E C Temp Meter Calnbrandn Date { Time Mater So"No <br /> E C 1000 pH 7 `'ter pH 10 f - pin 4 7 0 <br /> Temperature °F <br /> Signature F`'2 SG Revlewea ay Page of —� <br />