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WATER SAMPLE FIELD DATA SHEET Rev 1.192 <br /> PROJECT NO ©�-�{ -d+ SAMPLE= ID w - I <br /> EMCON PURGED BY �-rr��1 CLIENT NAMEASSOCIATIS <br /> SAMPLED BY LOCATION ' <br /> TYPE Ground Water Z Surface Water Leachate Other <br /> CASING DIAMETER (Inches) 2-1,— 3 4 4 5 6 Other <br /> CASING ELEVATION (feeVMSL) VOLUME INCASING (gat ) 13 <br /> DEPTH OF WELL (feet) -73 ,3 CALCULATED PURGE (gal ) • <br /> DEPTH TO WATER (feet) 7 L' ACTUAL PURGE VOL (gal ) �Q <br /> DATE PURGED Z Z c? End Purge i� <br /> DATE SAMPLED Sampling Time L Lk <br /> TIME VOLUME PH E C TEMPERATURE COLOR TURBIDITY <br /> ��2400 Nr) j i (units) 011 cm 25°C} rr - ('F) r( isual/cobalt) (vrsu NTU) <br /> n f. Jam ) �•�` -1L.c <br /> 3. D U .1 Ls ci ZI 3 • i <br /> OTHER / ODOR <br /> (COBALT 0.100) (NTU 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (I a FB-1, X-DUP-1) <br /> PURGING EQUTPMENTSAMPLING EQUIPME <br /> 2'Bladder Pump Bailer(Teflon*) - r Bladder Pump Bailer(Teflon®) <br /> Centrifugal Pump Bailer(PVC} Bomb Sampler Bauer(Stainless Stea) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well lizard"' Dedicated Well Wizard- Dedicated <br /> Other Other <br /> WELL INTEGRITY �� i(a � S 4 ¢ LOCK# 37- 10 <br /> REMARKS <br /> pH, E C,Temp Meter Calibration Date Time Meter Serial No <br /> • E C 1000 f pH 7 pH 10 pH 4 <br /> Temperature °F <br /> Signature Reviewed By: Page -2 Of f q <br />