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�I ' • I <br /> WATER SAMPLE FIELD DATA SHEET Rev 1192 <br /> PROJECT NO SAMPLE ID <br /> EMCONDBY <br /> PURGE a'�-' CLIENT NAME Ar Lo 434 <br /> ASSOC IAt E4 <br /> SAMPLED BY LOCATION <br /> TYPE Ground Water - Surface Water Leachate Other <br /> CASING DIAMETER (inches) 2`L 3 4 4 5 6 Other <br /> CASING ELEVATION (feet/MSL) VOLUME INCASING (gal ) v <br /> DEPTH OF WELL (feet) �' CALCULATED PURGE (gal ) 3 <br /> DEPTH TO WATER (feet) �'t5 ' ACTUAL PURGE VOL (gal ) `s <br /> DATE PURGED ( 42 End Purge [33[�f <br /> DATE SAMPLED Sampling Time -s+ - <br /> TIME VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> aoo r) (� ,ts (yunnoslcm 25•c) J,'>) (vlsuailoobalt) I_(vtwauniTU) <br /> OTHER r ODOR <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL (l a F13-1, X-DUP-1) <br /> PURGING EQUIPMENT <br /> 2'Bladder Pump Bader(Teflon®) 2"Bladder Pump Bailer(Teflon®) <br /> Centrifugal Pump Bader(PVC) Bomb Sampler Balser(Stainless Steel) <br /> Submersible Pump Bader(Stainless Steel) Dipper Submersible Pump <br /> Well Wizardm Dedicated Well WizwdTM Dedicated <br /> Other Other <br /> WELL INTEGRITY ` tAj LOCK# 3Z!0 <br /> vu 9^� s3; /�l9t,J <br /> UiGA+1335, UV <br /> pH, E C,Temp Meter Calibration Date Time Meter serial No <br /> E C 1000 _L- pH 7 !, pH 10 ! pHA I <br /> Temperature °F 0# 9 1 y <br /> Signature Reviewed By Page of <br />