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e 11 -1 <br /> WATER SAMPLE FIELD DATA SHEET Rev 1192 <br /> �.J --PROJECT NO �7/-C11�.U� SAMPLE ID JAI-Z3 <br /> EMCON PURGED BY CLIENT NAME A,hGO y3 <br /> ASSOCIATES <br /> SAMPLED BY . LOCATION G <br /> TYPE Ground Water -C- Surface Water Leachate Other <br /> CASING DIAMETER (inches) 2 3 4 4 5 6 Other <br /> CASING ELEVATION (feeUMSL) VOLUME IN CASING (gal ) 3-Y <br /> DEPTH OF WELL (feet) �' CALCULATED PURGE (gal ) 0.0 <br /> DEPTH TO WATER (feet) 32- ACTUAL PURGE VOL (gal ) 616 <br /> DATE PURGED j(jLb C-1Z find Purge 35Z <br /> DATE SAMPLED 47 Sampling Time <br /> TIME VOLUME PH E C TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) ( al (units (Vmhos/cm@ 25°C) ff) (visual/cobalt) (v+suallNTU) <br /> 13 Li�_ y' - 6 5 -711 1 � L- I <br /> OTHER ODOR <br /> (CORAL 0-100) (vu 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (l a FB-1, X-DUP-1) <br /> PURGING EQUIPMENTSAMPLING EQUIEMEN <br /> 2"Bladder Pump Bader(Teflon(D) 2-Bladder Pump Bader(Teflon®) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bader(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard^ Dedicated Well Wlzard'n Dedicated <br /> Other Other <br /> WELL INTEGRITY � � +s�t,��iTlT ., ..Q STr,o�� LOCK# Z <br /> REI�IARI�S � � <br /> r(`[ r 4 14 GCJ SU C4I G <br /> PH, E C Temp Meter Calibration Date t- Time 1000 Meter Serial Na <br /> E C 1000 7-f 1 !-Axy pH 7�_/ `] yU pH 10 01,o40 1u v(., pH 4 '`t <br /> Temperature °F i r <br /> Signature _!G Reviewed By Page Of �—�- <br />