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WATER SAMPLE FIELD DATA SHEET Rev. <br /> PROJECT NO: &-7 SAMPLE ID: <br /> EMCON PURGED BY: � _ CLIENT NAME: <br /> •ssoc +*Es <br /> SAMPLED BY: LOCATION: C, <br /> TYPE: Ground Water _:L Surface Water Leachate Other <br /> CASING DIAMETER (inches): 2 3 — 4 4.5 6_ Other i <br /> CASING ELEVATION (teeVMSL) : VOLUME IN CASING (gal.) : <br /> DEPTH OF WELL (feet) : CALCULATED PURGE (gal.) : �g <br /> DEPTH TO WATER (feet) <br /> 4[ 3o ACTUAL PURGE VOL ;gal.) : <br /> i <br /> DATE PURGED: 3 f Z End Purge 3 <br /> DATE SAMPLED: Sampling Time <br /> I <br /> TIMEVOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> 00 Hr) ts G mrloslan 25'C) (°F) (visuaucobalt) visual/ <br /> [UZI q".*3 Z -7,�. 1.�Uw �e <br /> 1 IL?A- � .4 I (Zq- -7 d•Z <br /> -70. 0 <br /> OTHER60-Vjol('nIG T�'1 000R: I <br /> E�61T i}100) (NTu 0-20C) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (i.e. FB-1, X-DUP-1) <br /> 0 PURGING EQUIPMENT <br /> Z-gladder Pump sailer(TeMona) 2'Bladder Pump Bailer(Teftonig) <br /> Centritugal Pump?11 Boner(PVC) Bomb Sampler Bailer(Stainless Steil) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersibie Pump <br /> wall wzardrr Dedicated well wizard^' Dedicated <br /> 0 Omer: other: <br /> WELL INTEGRITY : 1 J EU v _ LOCK s:�Z�� <br /> REMARKS: <br /> PH.E.C.,Temp.Meter Calibration: Date: Time: Serial <br /> i <br /> E.C. 1000 PH T ! PH 10 ! PH 4 1 <br /> Temperature °F: f <br /> Paae of <br /> Signature: Reviewed Bv: 1 <br />