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WATER SAMPLE FIELD DATA SHEET Rev 192 <br /> PROJECT NO -7 S `-7 00 CIG SAMPLE. 10 <br /> • EMCON PURGED BY t A C�fY� �r'cp <br /> CLIENT NAME <br /> SAMPLED BY �. LOCATION <br /> TYPE Ground Water Surface Water Leachate Other <br /> CASING DIAMETER (Inches) 2 3 4 4 5 6 Other <br /> I <br /> I <br /> CASING ELEVATION (feet/MSL) VOLUME 1N CASING (gal ) �• <br /> DEPTH OF WELL (feet) ct CALCULATED PURGE (gal ) <br /> DEPTH TO WATER (feet) ACTUAL PURGE VOL (gal ) Z �r <br /> DATE PURGED �� r End Purge j <br /> DATE SAMPLED Sampling Time <br /> I <br /> TIME VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> '2400/ „} {,gad (units) (wnhoslcm@ 25•C] `7S�1 (Visuaumbaltl (VisuauNTU} <br /> f 7 �3 //3 D ia'�� 6,,� <br /> �YG <br /> 210 „ -7 z to //'0-7 77 z <br /> OTHER ODOR AjOr/C <br /> (CO LT 0 tool (NT <br /> ILW200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (i a F13-1 X OUP-1) <br /> PURGINQ FQUIPMFNTSAMPLING FQUIPMFNT <br /> 2"Bladder Pump Batter(Teflane) 2'Bladder Pump Zt�(Tefl") <br /> Centrtfugal Pump �Bailer(PVC) Bomb Sampler Baikr(Stainless Steell <br /> Submersible Pump Sailer(Stainless Steel) Dipper Submenuble Pump <br /> WON Wizardr" Dedicated Well Wizard- Dedicated <br /> Other Other <br /> WELL INTEGRITY {'' Til LOCK 0 <br /> RE ARKS Weil 5 AL C� ��`� <br /> 1 ' w r <br /> pH E C Temp fmier Calibration Date_ ln1- Time Meter Serial No <br /> . E C 1000 �_ pH 7 f pH 10 ! pH 4 <br /> Temperature ° F <br /> 5L <br /> Stgnawre Reviewed By2 L7o <br /> - Pageof <br />