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WATER SAMPLE FIELD DATA SHEET Rev. 1192 <br /> PROJECT NO: C&l f 033-41 SAMPLE W 3 (�2` <br /> !D: � <br /> EMCON PURGED BY: CLIENT NAME:ASSOC 1A T ES <br /> UI r�S <br /> SAMPLED BY: LOCATION: <br /> TYPE: Ground Water --I— Surface Water Le chate Other <br /> CASING DIAMETER (inches): 2 3 4 4.5 6 Other <br />• <br /> CASING ELEVATION(feet/MSL) : VOLUME INCASING (gal.) : , [ f• U <br /> DEPTH OF WELL (feet) : 3 2 CALCULATED PURGE (gal.) ,. <br /> DEPTH TO WATER (feet) : ACTUAL PURGE VOL. (gal.) <br />• <br /> DATE PURGED: a 2 End Purge ZS� <br /> DATE SAMPLED: Sampling Time <br />• TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) (units) (pmh cm@ 25°C) ff) tsttal/cobelt (visuaVNTU) <br /> 124 IJ 'I'21 U-22 �3.°J tri �4 [Ouj <br /> i LL q04- `71. <br /> M!9z 39.0 4- rl t-S <br /> oTHER��:CfL!�2�'h'�" '�" �-l-Z ODOR: <br /> �OBALT X100} (NTU 0-200) <br />• <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (i.e.FB-1, X-DUP-1) <br /> PURGING EQUIPMENT <br /> 2'Bladder Pump Bailer(Teflon®) 2'Bladder Pump Bailer(Teflone) <br /> Centrifugal Pumi rs Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> -se Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard"" Dedicated Well Wizard m Dedicated <br /> Other: Other: <br /> WELL INTEGRITY LOCK# ZSGI <br /> REMARKS : <br /> • pH, E.C_,Temp. Meter Calibration: Date: Time: Meter Serial No.: <br /> E.C. 1000 pH 7 pH 10 r pH 4 <br /> t <br /> Temperature ° F: <br /> Signature: Reviewed3 <br /> BY: Page of <br /> • <br />