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WATER SAMPLE FIELD DATA SHEET Re 1`92 <br /> PROJECT `:O: C&11-0 37) SAMPLE 10: V"y' ,C` cszb <br /> EMCON PURGES}BY: I,--V9LA 6 <br /> 111 <br /> ASSOCIATES CLIENT NAME. <br /> SAMPLED 3Y: LOCATION: L� <br /> TYPE: Ground Water Surface Water Leachate Other <br /> CASING DIAMETER (inches;: 2 3 4 4.5 6 Other <br />• <br /> CASING ELEVATION (tee-,MSL) : _ VOLUME IN CASING (gal.) : S--7 <br /> DEPTHOF WELL 'feet) : CALCULATED PURGE (gal.) ;r <br /> DEPTH TO WATER (feet) : ACTUAL PURGE VOL (gal.) <br />• <br /> DATE PURGED. tl�1k3 End Purge <br /> DATE SAMPLED: Sampling Time <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br />• t �? I �lup��, (WTJf}25'C) F} cobalt) �vlsuaYNTU) <br /> OTHERSG1r % V)�,L; � ODOR: MN- <br /> (Cc 0-100) (NTU 0-200) <br /> FIELD OC SAMPLES COLLEC TED AT THIS WELL (i.e. F8-1. X-DUP-1) : <br /> =-nUIPMENT <br /> 2'Bladder Pump Bailer(Telton%) 2'Bladder Pump Sailer(Teflon®) <br /> Centntugat Pump Bait"(PVC) Bomb Sampler Hailer(Staintess Steel) <br /> Submersible Pump Sailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard"' Cedirated Well Wizard"" Oedicated <br /> Other: �.. Other: <br />'4 WELL INTEGRITY. l Vci r I Li 'V, <br /> LOCK., <br /> REMARKS: <br /> pH, E.C..Temp,Meter Calibrauon: Cam: Time: Meler Serial No.: <br /> E.C. 1000 ;:H 7 pH 10 pHA <br /> Temoerature ° F: <br /> Signature: <br /> Reviewed By: Page of <br /> • <br /> r <br />