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is <br /> n WATER SAMPLE FIELD DATA SHEET <br /> PROJECT NO: &l +-S3,b SAMPLE ID: � <br /> EMCON PURGED BY: ��`u'� CLIENT NAME: ly��,'s4� <br /> •550:. �•ES Z / V_�`A <br /> SAMPLED BY: LOCATION: [r 1 7�,1 • <br /> TYPE: Ground Water Surface Water Le chate Other <br />* CASING DIAMETER(inches): 2 3 a 4.5 6 Other_ <br /> CASING ELEVATION (feet/MSL) VOLUME INCASING (gal.) <br /> I <br /> DEPTH OF WELL (feet} <br /> 3 Z CALCULATED PURGE (gal.) <br /> DEPTH TO WATER (feet) : <br /> 4 - ACTUAL PURGE VOL. (gal.) <br /> DATE PURGED: !qc 2 find Purge S3 <br /> DATE SAMPLED: Sampling Time <br />• E.C. I TEMPERATURE COLOR TURBIDITY <br /> TIME VOLUME P� <br /> (fun o5/cm 25'C) r . °F) Suallcoball) f{vniSuauhfTU) <br /> 1523 24-� r1` .0 2 cl-1 ci�4- v�d vrc, <br /> 'i.0u qSo <br /> Lf'-1- { �� <br /> � �X30 �-C�Q �,p�J �4 I (� • 0 <br /> OTHER - ODOR: <br /> #cceaiTaloo) Ilvru o-roc) <br /> FIELD OC SAMPLES COLLECTED ATTHIS WELL (i.e. FB-1, X-DUP-1) : . - <br /> PURGING FQU1 <br /> „^ 2'Bladder Pump Bailer (Teflon(t) — T Bladder Pump Bailer(Teflono) <br /> Centritugal Pump 11 Bailer(PVC) Bomb Sampler Baiter(Stainless Stash <br /> Submersible Pump Bader(Stainless Steel) Dipper Submersible Pump <br /> well WizardT" Dedicated well wizardTm Dedicated <br /> + Other: ,q Other: <br /> WELL INTEGRITY <br /> V� � LLiI LOCK#: �ZS� • <br /> REMARKS: <br /> • pH.E_C..Temp.toleter Calibration: Date: Time: Meter Serial No.: <br /> E.C. 1006 L — PH 7 ! PH 10—! PH 4 !••�^� <br /> 1 <br /> Temperature ° F: <br /> 13 <br /> �� Signature: -- Reviewed By: "' Page of <br />