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WATER SAMPLE FIELD DATA SHEET Rev 1192 <br /> PROJECT NO 011- "7 9( SAMPLE ID w J C I <br /> rn/16 w 43 <br /> EMCON PURGED BY '�1 U CLIENT NAME <br /> ASSOCIATES W <br /> SAMPLED BY LOCATION fL/,0 <br /> 6 <br /> ' <br /> TYPE Ground Water Surface Water Leachate Other <br /> CASING DIAMETER(inches) 2 `"f 3 4 4 5 6 Other <br /> CASING ELEVATION (feet/MSL) VOLUME IN CASING (gal ) 2 3 <br /> DEPTH OF WELL (feet) —7 CALCULATED PURGE (gal ) �r 2 <br /> DEPTH TO WATER (feet) ' ACTUAL PURGE VOL (gal ) 4�� <br /> DATE PURGED CC 44 End Purge <br /> DATE SAMPLED Sampling Time <br /> TIME VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) (units 25`C) {• (visa ) visual(NTU) <br /> C .az Z . ' -7-2� `7L U^XkL" <br /> 15341 Ta3 ( 3 -7 1. r <br /> tis -SI - P r ,O v4n <br /> OTHERT4 r ! ODOR <br /> {co LT 0-100) (NTU 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (i a PBA,X-DUP-1) <br /> 2URGING EQUIPMENTSAMPLING FOU P E <br /> r Bladder Pump Bailer(Teflone) 21 Bladder Pump Bailer(Teflo,e) <br /> Centttugal Pump Bailer(PVC) Bomb Sampier Bailer(Stainless Stash <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard^ Deducted well Wizard7m Dedicated <br /> Other Other <br /> WELL INTEGRITY YwA LOCK0 �� <br /> REMARKS <br /> pH,E C,Temp Meler Calibration Date Time Meter Serial No <br /> E C 1000 _L-. pH 7 pH 10-I pH 4 <br /> Temperature °F <br /> l3 ��Signature Reviewed By Page of <br />