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WATER SAMPLE FIELD DATA SHEET Rev. 1192 <br /> PROJECT NO: 0-7r-033' D I SAMPLE ID: LAgW�5 CC'd` <br /> . EMCON PURGED BY: CLIENT NAME: <br />• ASSOCIATES <br /> SAMPLED BY: LOCATION: <br /> TYPE: Ground Water `"t Surface Water Leachate Other <br /> CASING DIAMETER (inches): 2 3 4`''L 4.5 6 Other <br />• <br /> CASING ELEVATION (feet/MSL) : VOLUME IN CASING (gal.) : ' <br /> DEPTH OF WELL (feet) : CALCULATED PURGE (gal.) : L <br /> DEPTH TO WATER (feet) : S 3Z ACTUAL PURGE VOL. (gal.) : <br />• <br /> DATE PURGED: 2 el 3 End Purge %S j <br /> DATE SAMPLED: Sampling Time 14,00 <br /> TIME VOLUME pH E.G. TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) ( - ? (pm 0.25°c) (°F visual oDMt) (vi aVNTU <br /> etti <br /> It -711,lev <br /> 32-0 US 100 -74,2 0100u <br /> OTHER �T., `�" ODOR: I <br /> (COBALT 0-100) (NTU 0-2D0) <br />• FIELD OC SAMPLES COLLECTED AT THIS WELL (i.e.FB-1, X-DUP-1) : <br /> PURGINQ EQUIPMENT SAMPLING FQUIEMFNT <br /> 2`Bladder Pump Bailer(Teflon(D) 2'Bladder Pump Bailer(Teflon®) <br />• Centritugai Pump I I Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pum�S Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard'^r Dedicated Well WizardTm Dedicated <br /> Other: Other: <br /> r WELL INTEGRITY : ' tS���' LOCK#:3ZSR <br /> REMARKS : <br /> PH,E.C.,Temp.Meter Calibration: Date: Time: Meter Serial No.: <br /> E.C. 1000 1-- PH 7 ! PH 10 ! PH 4 ` <br /> Temperature °F: <br /> Signature: <br /> Reviewed By: Page of <br />• <br />