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WATER SAMPLE FIELD DATA SHEET Rev- 1192 <br /> d <br /> V PROJECT NO I `l�S' 1U) C'0 ( SAMPLE ID <br /> • EMCON PURGED BY I-V a5ti.v CLIENT NAME t'U <br /> SAMPLED BY ' LOCATION <br /> TYPE Ground Water 'L 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 ) <br /> DEPTH OF WELL (feet) cr CALCULATED PURGE (gal.) S <br /> DEPTH TO WATER (feet) f 3� ACTUAL PURGE VOL. (gal ) <br /> DATE PURGED ! I c1 End Purge f <br /> I <br /> DATE SAMPLED Sampling Time Q <br /> IME VOLUME pH E C TEMPERATURE COLOR TURBIDITY' <br /> 4100 Hrl (gai) (units) (pmhoSranC0 25'C) ('Fy (vrsuaVoagatt) (Vl$UwNTu) <br /> C1H 1, 2 o f1 N-1 12cd- <br /> q_ '-I, e <br /> OTHER cL 5 ODDR _ <br /> (COBALT0100) (NTUfl(NTU� I <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (i a FS-t, X-DUP-1) <br /> } <br /> P <br /> 2`Bladder Pump Baiter(Teflon49) 2'Bladder Pump Baller(Teflon®) <br /> Centrrtugal Pump _-s�— Barrer(PVC) Bomb Sample; Mier(St affflees shm) <br /> Submersiole Pump — Bailer(Stainless Steely Olpper SubmerabirPump <br /> well wlzardru Dedicated well WL=d^r pedEtuLedx <br /> Other Other <br /> i <br /> WELL INTEGRITY <br /> Locl<# Z,Z Ia <br /> REMARKS <br /> q�! I <br /> pH E C Temp Meter Calitu�a�e�o�n Date � �� rme j 1 Meter Serial No <br /> . E;C 10001--t`" pN 7 7 //I `r �H 10 "� ��' ^ �7, <br /> --• .�. _ pH a 3g (zl I <br /> Temoerature 3 F <br /> Signature I `/ t/ Reviewea By Page of �� <br />