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t <br /> 9 <br /> �1 WATER SAMPLE FIELD DATA SHEET Rev 1/92 <br /> PROJECT NO (511- c1 . 9 E„f"" 1 Z <br /> SAMPLE !Q <br /> EMCON PURGED BY f2'� Ll,/q(' CLIENT NAME 4,W ¢34- <br /> SAMPLED BY LOCATION Clod 0. <br /> TYPE Ground Water Surf ce Water Leachate Other <br /> CASING DIAMETER (Inches) 2 3 4 4 5 6 Other <br /> CASING ELEVATION (feet/MSL) VOLUME IN CASING (gat ) 70 rr <br /> DEPTH OF WELL (feet) CALCULATED PURGE (gal ) v;cc��� <br /> DEPTH TO WATER (feet) � ` - ACTUAL PURGE VOL (gal } V` <br /> DATE PURGED I Y) L End Purge �Tv <br /> DATE SAMPLED Sampling Time meq' <br /> TIME VOLUME pH EC TEMPERATURE COLOR TURBIDITY <br /> (?400 Hr) !ts (pmhostcm 25•C) (•F) (visual/oobalt) ( suaVNTU) <br /> 2 4-0U ct ?b nso '1 Z•3 <br /> 61 H24 <br /> � 3� U,0 <br /> LIZL � r• 4- <br /> OTHER <br /> �/Vl� " .'� rva• ODOR i <br /> (c LT 0-100) (NTU 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (I a FBA,X-DUP-f) <br /> PURGING EQUIPMENT SAMPLING EQUIWENT <br /> 2'Bladder Pump Bailer(Teflono) 2'Bladder Pump Bailer(Teflon®) <br /> Centrifugal Pump Bafier(PVC) Bomb Sampler Bailer(Stainless Steal) <br /> Submersible Pump Bader(Stainless Steel) Dipper Submersible Pump <br /> Well W+zard"m Dedicated Well WUard^m Dedicated <br /> Other n � Other <br /> WELL INTEGRITY "' w� '1tr LOCK# <br /> REMARKS <br /> pH,E C,Temp Meter calibration Date Time Meier Serial No <br /> E C 1000 L.- pH 7 / pH 10 pH 4 <br /> Temperature °F <br /> Signature Reviewed By Page �Y of Y <br />