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WATER SAMPLE FIELD DATA SHEET Rev 1192 <br /> PROJECT NO 6�71-012,01 SAMPLE ID W-4V (-7k' <br /> EMCON <br /> •ssoci.rEs PURGED BY � (�c�-t�iryt� n3 CLIENT NAME �� ya <br /> SAMPLED BY LOCATION <br /> TYPE Ground Water Surface Water Leachate Other <br /> CASING DIAMETER (Inches) 2 3 4 4 5 6 Other <br /> CASING ELEVATION (feet/MSL) VOLUME IN CASING (gal ) Z 2- <br /> DEPTH OF WELL (feet) �w' Z CALCULATED PURGE (gal ) / /- 0 <br /> DEPTH TO WATER (feet) 65-1 -2z ACTUAL PURGE VOL (gal ) ��° 6 ._ <br /> DATE PURGED It I1147 End Purge <br /> DATE SAMPLED _ 1�1 Sampling Time 63 <br /> TIME VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) {9a } —(units) (pmhos/c7m@ 25°C) p �ff)�] (visual/wbafl) �(vlsual/N1TU) <br /> 7 <br /> ! <br /> '7 Lf s� �- •- <br /> OTHER ODOR <br /> (coa o-loo) (wru 0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL (i a FB-1, X-DUP-1) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2-Bladder Pump Bailer(Teflon(&) 2'Bladder Pump –15:--�Bader(Teflon®) <br /> Centrifugal Pump .� Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Baiter(Stainless Steel) Dipper Submersible Pump <br /> Well WizardTm Dedicated Well Wlzard7m Dedicated <br /> Other Otter <br /> WELL INTEGRITY LOCK# -3z 10 <br /> REMARKS <br /> . pH, E C Temp Meter Calibration Date 71me Meter Serial No <br /> E C 1000 I pH 7 PH 10 / pH 4 f <br /> Temperature °F <br /> Signature Reviewed By Page r Z of <br />