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WATER SAMPLE FIELD DATA SHEET Rev 1/92 <br /> UZ PROJECT NO 1 -7-7 5 ` 706 CCS j SAMPLE 0 to r, <br /> • EMCON PURGED BY ! CLIENT NAME C1J X13 <br /> SAMPLED BY LOCATION UD t <br /> TYPE Ground Water Surface Water Leachate Other <br /> CASING DIAMETER (Inches) 2 �L 3 4 4 5 6 Other <br /> CASING ELEVATION (feet/MSL) VOLUME IN CASING (gal ) Z-S <br /> DEPTH OF WELL (feet) —7 -05, <br /> CALCULATED PURGE (gal ) —7 S <br /> DEPTH TO WATER (feet) �� � 7 ACTUAL PURGE VOL. (gal ) -75 <br /> DATE PURGED _.� E �1�� --, End Purge - 17,Z5 <br /> DATE SAMPLED Sampling Time Z3 Q <br /> -IME VOLUME PH E C TEMPERATURE COLOR TURBIDITY <br /> ;:00 HO (urms) {µmhosrcm(e?25'C) ("F) (rtsuaLcoealo vlsuauNTU <br /> LAS 5 -7,0 Lq Z <br /> OTHER .�. ODOR <br /> ALT 0 100) ( 0200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (ie FB-1 X-DUP-1) <br /> PEQING EDU1PMPNT SAMPI ING Ecuipw-NT <br /> 2'gladder Pump (TeflonQ9) 2'$ladder Pump Bailer(Teflone) <br /> Centrifugal Pump Saaw(PVC) Bomb sampler Bailer(Stainless Steel) <br /> Submersible Pump Balser(Stainless Steel) Dipper Submersible Pump <br /> well Wizardr" Dedleated Well WizarwN Dedicgwd <br /> Cuier Other <br /> WELL INTEGRITY l.u4fi?tff/,r�/ i�yJ .. _ LOCK 0 2 12A() <br /> REMARKS <br /> pH EC -emp Meter Calibration Date Tirise !Mater Serial No <br /> E C CCA i pH 7 _ pH 10 r pH 4 I �� <br /> Temoerature ' F <br /> Signature Reviewed B ' i✓ <br /> Y Page of � <br />