Laserfiche WebLink
i <br /> WATER SAMPLE FIELD DATA SHEET Rev 1/92 <br /> PROJECT NO (XO 7(-0 1'1'(D I <br /> SAMPLE ID <br /> EMCON PURGEDIBY CLIENT NAME + L 3 <br /> �tS�t/�Cc Y tf'u✓� <br /> LOCATION �/ ! <br /> TYPE Ground Water Surface Water Leachate Other <br /> CASING DIAMETER (Inches) 2 3 4 4 5 6 Other <br /> CASING ELEVATION (feeVMSL) I VOLUME IN CASING (gal ) <br /> DEPTH OF WELL (feet) - ! CALCULATED PURGE (gal ) <br /> DEPTH TO WATER (feet) ACTUAL PURGE VOL (gal ) <br /> DATE URGED l End Purge <br /> DATE 3xrtafP9�X�G t t U 3 Sampling Tme <br /> TIME VOLUME pH E C TEMPERATURE COLO TURBIDITY <br /> (2400 Hr) al (units) (yunhos/cmP 25- C) IF <br /> t9 ) ( ) (Vis u cobalt) {vlsuat/NTLf} <br /> OTHER ODOR <br /> (COBALT0 too) (NT <br /> FIELD OC SAMPLES COLLECTED THIS WELL (I e FB 1 X-DUP 1) <br /> IN PM SAMPLING IPM <br /> ENT <br /> 2 Bladder Pump Bader (Teflons) 2 Bladder Pump Bailer(Teflon®) <br /> Centnlugal P mp — Bader (PVC) Bomb Sampler Barter(Stainless Steel) <br /> Subm pole Pump Bailer (Stainless Steel) Dipper <br /> Submersible Pump <br /> — II Waardr" _.,,` Dedicated Well WrzardTW <br /> Dedicated <br /> O r <br /> Other <br /> WELL INTEGRITY �� � ,- 40 <br /> [.X <br /> REMARKS r V1 L7 LOCK tt <br /> pH E C Temp teeter Calibration Date Time <br /> E C 1000 f peter Serial No <br /> ! pH 7 ! pH 10 <br /> ! pli 4 ! �� <br /> Temperature ° F <br /> Signature <br /> Reviewed By4ff- Page of 1 <br />