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a, Rev. 1M <br /> WATER SAMPLE FIELD DATA SHEET <br /> PROJECT NO G"� 1�' .) SAMPLE IID <br /> EMCON PURGED BY :r P I r7f LLA CLIENT NAME A rim <br /> ►i(OCuT(( <br /> SAMPLED BY LOCATION LM C•A <br /> TYPE Ground Water � Surface Water 1Leeachate Other <br /> CASING DIAMETER(Inches) 2 3 4 L.Z. 4 5 fi Other <br /> CASING ELEVATION(feeVMSL) VOLUME IN CASING (gal) 1.6 <br /> DEPTH OF WELL (feel) <br /> 611 CALCULATED PURGE (gal) jr,2- <br /> 6 r Z ACTUAL PURGE VOL Z <br /> DEPTH TO WATER (feet) (g� ) <br /> DATE PURGED S ._ End Purge 1 y qo <br /> DATE SAMPLED r�t' Sampling Time 07050" <br /> TIME VOLUME AH E.0 TEMPERATURE COLOR TURBIDITY <br /> (2400 Mr) (unrls) WWmkmO 25-C) �) (�0MM) <br /> rIf/y° l 769 tf�f (�eEr � 0i� <br /> 09b y G�I g 3 3.O <br /> OTHER IaoA �rGHr NitNYt <br /> .�i (COBALT 4100) (NTU a� <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (La FB-1.X-DUP-1) NR <br /> .y�Y. <br /> ff a <br /> PURGM EOUIPMEKT <br /> r Bladder Ptanp Bailer(Teflon®) r Bladder Pww saw(T000r►®) <br /> Centrifugal Pump Bailer(Pvc) Bomb Sampler Bailer(Sminless Sl ol) <br /> Submersible Ptxnp Bailer(Srarnless steel) Dipper Submersbie Pump <br /> well wizards Dedicaled well wizard7m Dedi alod <br /> Other otter <br /> WELL INTEGRITY C-Oyp -w'TQ�n 6NT GID -sr/L+XPad LOCK t 3 210 <br /> REMARKS W'4 i✓LR 1. /!� �— 6,Iu..wf Rl'3+tovtM w •�� /S/tIO� !I fZ. <br /> cv- I. 08 ,2,19IL. <br /> pH. E C.Temp Meter Calibration Date �! Tii„e �y3 00 Meier serial No � �l <br /> t E C 1000 /10�0 &O 0 PH 7 00 pH 10 2 / pH 4 <br /> t Temperature °F yo, <br /> Signature ed By Page 01 <br />