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WATER SAMPLE FIELD DATA SHEET Rev 1192 <br /> �U0 PROJECT NO -7 9 SAMPLE 1D W'- <br /> EMCON PURGED BY CLIENT NAME A�� ``1-3 <br /> ASSOCIATES <br /> SAMPLED BY LOCATION ` <br /> TYPE Ground Water SuAace Water Leachate Other <br /> CASING DIAMETER (inches) 23 4 Q 5 6 Other <br /> CASING ELEVATION (feeVMSL) VOLUME IN CASING (gal ) <br /> DEPTH OF WELL (feet) ��- CALCULATED PURGE al ) <br /> DEPTH TO WATER (feet) _ ACTUAL PURG OL (gal ) <br /> DATE PURGED End Purge <br /> DATE SAMPLED Q Z Sampling Tree <br /> TIME VOLUME PH EC TEMPERA:� (visuaVoobalt) <br /> LOR TURBIDITY <br /> (gal) { <br /> (2400 Hr) (unrs) rnhoslcrn@ 25'C) (°F) (visuaVNTU) <br /> OTHER ODOR —�-- <br /> (coBALT o-loo) (rlTu a2oo) <br /> FIELD OC SAMPLES COLLEC AT THIS WELL (i a FB-1,X-DUP-1) <br /> SAMPLING EQUIPMENT <br /> Y Bladder Pu Bader(TeflonS) r Bladder Pump Mier(Tell") <br /> ilu ump Bader(PVC) Barb Sampler Bailer(Stainless Steel) <br /> Sub rsible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> ell Wizartfrm Dedicated Well Wlzard7w Dedicated <br /> ;,,Cenf3, <br /> rr-- Other <br /> WELL INT ITY Cja n1 LOCK# <br /> REMARKS r <br /> pH,E C,Temp Meter Calibration Date Time Meier Serial No <br /> E C 1000 _! pH 7 ! pH 10 / pH 4 r <br /> Temperature °F <br /> c <br /> Signature Reviewed By Pagey Of --� <br />