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1I <br /> WATER SAMPLE FIELD DATA SHEET- Rev. 1192 ' <br /> PROJECT NO 1 - -70U <br /> r> � SAMPLE ID w <br /> EMCON PURGED BY CLIENT NAME CO -:it-q :;4 <br /> SAMPLED BY LOCATION Dd <br /> TYPE Ground Water �L Surface Water - Leacnate Other <br /> CASING DIAMETER (inches) 2 3 4 5 <br /> 6 Other <br /> CASING ELEVATION (feevMSL) VOLUME IN CASING (gal, NO <br /> DEPTH OF WELL (feet) CALCULATED PURGE (gal.) S-O <br /> DEPTH TO WATER (feet) 2 22 ACTUAL PURGE VOL (gal ) 0 <br /> DATE PURGED End Purge l5� <br /> DATE SAMPLED W Sarnoling Time rS 2U .� <br /> `IME <br /> 2400 Hr1 VOLUME pH E C `EMPERATURE COLOR <br /> TURBIDITY <br /> ( (r al) (units) (Wah��q(W 25•Cl (°F} (Visu}aUcabain (vlsuaVNTU) <br /> 1 <br /> 1, S f Cv 9�] {trz 4,1 <br /> 71 .1 } <br /> 3 <br /> t4 5- 713 -71 r <br /> OTHER 5 -731 ODOR N <br /> (C08AE�~ipp} (NTlit�p-2 `00) <br /> FIELD CC SAMPLES COLLECTED AT THIS WELL (i a FB-t X DUP-1) � <br /> PURGING FO IIP FNT <br /> 2"Bladder Pump — Bader(Teflono) 2-Sladder pump � Bailer(Tellort�) <br /> Centntugai Pump Bader(PVC} Bomb Sampier Bailer(gra Stec) <br /> Submersible Pump _ Bader(Stainless Steel) Dipper <br /> Well Wizardr" Dedi sv�i°1° Pump <br /> Dedicated — Well Wizard- De#lonrb <br /> rattier <br /> Other <br /> WELL INTEGRITY CAA A <br /> LOCK# <br /> REMARKS <br /> C <br /> pH E C Temp Meter Calibration Date Time <br /> E C 1000 —4; pH 7 Meter Serial No <br /> Temperature <br /> Sionature / �,� C► 1Z� •� <br /> / Reviewed By _ Pageof <br />