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WATER SAMPLE FIELD DATA SHEET Rev. IA2 <br /> PROJECT NO:&-9-7(-Q `9 SAMPLE ID: <br /> EMCON PURGED BY: CLIENT NAME: <br /> •SSocu*tS <br /> SAMPLED BY: LOCATION: G <br /> TYPE: Ground Water "� Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 3 4 4.5 6 Other <br /> i' <br /> CASING ELEVATION(feeVMSL) : VOLUME IN CASING (gal.) <br /> DEPTH OF WELL (feet) : CALCULATED PURGE <br /> DEPTH TO WATER (feet) ' ACTUAL PURL (gal.) ; <br />• <br /> DATE PURGED: End Purge <br /> DATE SAMPLED: 3 3 SampfEng Time <br /> TIME VOLUME pH E.C. TEMPERATURE COLO TURBIDITY <br />• (2400 lir) {9�} (units) 4urMoLA"250 C) ('F1' ( } (vlsuaUt�rrl!) <br /> OTHER ODOR: <br /> (COBALT 0-100) (NTU 0-20D) <br /> FIELD OC SAMPLES COLLECTED A IS WELL (La.FB-1,X-DUP-1): <br /> SAMPLING EQUIPMENT <br /> ZE Bailer(Teflon®) 2-Bladder Pump Bauer(Tenor) <br />! Bailer(PVC) Bomb Sampier Bafler(Stainless Steeq <br /> Bailer(Stainless Stee) Dipper Submers�le Pump <br /> Dedicated Wen Wizard- DadOffer: <br /> WELL INTEGRnT V� W CK <br /> K t:1 <br /> REMARKS. �! G' <br /> pH,E.C.,Temp.Meter Calibration: Date: Tirme: Meter Serial No.: <br /> E.C. 1000 f pH 7 1 PH 10 / AH 4 <br /> Temperature *F: <br /> Signature: Y Reverted By: Page ' <br /> of <br />