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Rev 1'�2 <br /> WATER SAMPLE FIELD DATA SHEET <br /> V PROJECT NO. - 7 O Q 1 SAMPLE iD — 7 <br /> EMCON PURGE=D BY M CLIENT NAM <br /> � I E t-{3`l <br /> SAMPLED BY �Y LOCATION <br /> TYPE Ground Water Surface Water _eachate Other <br /> CASING DIAMETER (inches) 2 x 3 4 5 8 Other <br /> CASING ELEVATION (feet/MSL) VOLUME IN CASING (gal ) 3 <br /> DEPTH OF WELL (feet) �b { CALCULATED PURGE (gal ) 919 <br /> DEPTH TO WATER (feet) S ACTUAL PURGE VOL (gal ) <br /> DATE PURGED 19 lq,5 End Purge <br /> DATE SAMPLED Samvling Time I lc) <br /> TIME VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> 2-100 Hr) {units) (Pmh CM a�2�- C) <br /> �(9a� `7 {'F} (visuaEreobatt) (vl�uallt+eTU) <br /> G� <br /> OTHER CiJy QDOR k <br /> (COBALT 0 100) (NTUU 0.200) <br /> FIELD CC SAMPLES COLLECTED AT THIS WELL 0 a FB-1 X-DUP-1) —C--- <br /> PURGINQ EOUIPMFUJ SAMPLING EQUI M <br /> ENT <br /> 2'8ladder Pump Bailer jeltonoo) 2'Bladder Pump Bailer(TeRoet®) <br /> Centntugaf Pump 0-'—, Bader(PVC) Bomb Sampler Bailor(Stais>iaaa Steel) <br /> Submersible Pump Bailer(Stanleys Steel) DipQer 5uhmara ft Pump <br /> Wen wlzardTM Dedicatiec Well Wlzara- p�y� <br /> Other =j1er <br /> WELL INTEGRITY Ck LOCK# 15Z 00 <br /> REMARKS <br /> pH E C Temp Meter Calibration Date S Timet later Serial Na <br /> . E C 1000 p 7 r CH 10.�„�! pH 4 <br /> Tempera e �F l <br /> Signature / l f3awewea 8.r. Page ) <br /> —�_---- of �� <br />