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WATER SAMPLE FIELD DATA SHEET Rev V92 <br /> PROJECT• NO 1775 -7C1U ��✓� SAMPLE <br /> _ LE ID <br /> EMCON `` ` A <br /> PuR@fB BY Ci�`GCLIENT NAME ,/G 3`// <br /> SAMPLED BY LOCATION <br /> TYPE Ground Water Surface Water Leacnate Other <br /> CASING DIAMETER (inches) 2 3 4 4 5 6 Other <br /> CASING ELEVATION (feet/MSL) VOLUME IN CASING (gal ) <br /> DEPTH OF WELL (feet) Z I CALCULATED PURGE (gal ) <br /> DEPTH TO WATER (feet) ACTUAL PURGE VOL (gal ) <br /> DATE PYRG'ED- y �,fl End Purge <br /> DATE SAMPLED / Samp6rig rme =zf <br /> � / I <br /> TIME VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> 2400 Hr� (Units) {}:mhos/an <br /> (gal) (W 25'C) (°F) (visuaticobalt) (visuatlNTU) <br /> OTHER ODOR ' <br /> (COBALT 0 100) (NTU 0 200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (i a FB 1 X DUP-1) <br /> PURGINQ M <br /> 2'Bladder Pump Bariec�-Tcffnn�) Z'Bladder Pump <br /> Centrtfuga!Pump Bailer(TeAon»9) <br /> Bailor <br /> (PVC) Bomb Sampler Bailer(Stain Steel) <br /> Submersible^Pump Bailer(Stainless Steel) Dipper r SuOrrterstbta Pump <br /> (-W�n WizardTu Dedicated well Wizardly <br /> Other Dedkated <br /> Other <br /> WELL INTEGRITY -oc I - L4-111 rzreyr 11" <br /> LOCK to / <br /> REMARKS 0 zkjoS — <br /> pH E C Temp Meter Calibration Date Time Meter Senai No <br /> E C 1000 , � pH 7 <br /> pH 10 -_! pH 4 <br /> Temperarure °F <br /> Signature tr Lr--- <br /> Revieweey By Pageof <br />