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� WATER SAMPLE FIELD DATA SHEET Rev 1192 <br /> UZPROJECT NO X7 -00 U1 -_ SAMPLE ID. `Z- 6 Z 9 <br /> EMCON PURGED BY S 6 i A-CZrnj t" CLIENT NAME <br /> •SsocurES <br /> SAMPLED BY _ tb LOCATION <br /> TYPE Ground Water_ Surface Water Leachate Other <br /> CASING DIAMETER (Inches) 2 3 4tT- 4 5 & Other <br /> CASING ELEVATION (feet/MSL) VOLUME INCASING (gal ) <br /> DEPTH OF WELL (feet) 3 -- CALCULATED PURGE (gal ) t <br /> DEPTH TO WATER (feet) • 3 ACTUAL PURGE VOL (gal.) IZ5 <br /> DATE PURGED _ ZLZ�I/43 End Pure 3 j <br /> 9 _ <br /> DATE SAMPLED Sampling Time Z L <br /> TIME VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> (�2400 Hr) (gal) �(units) (jamhos/cnLlb F)25'C) (' (visual/cobalt) (visual/NTU) <br /> Z <br /> —7,cZ <br /> OTHER ODOR t <br /> (c T aloo) (N 200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (I a FB-1,X-DUP-1) <br /> 2-Bladder Pump Bailor(Teflon(g) 2'Bladder Pump Bailer(Teflona) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersitsle Pump <br /> Well Wizard^m Dedicated Well Wlzardnd Dedicated <br /> Other Other <br /> WELL INTEGRITY � d,,7 LOCK# 3Z�� <br /> REMARKS ,.Uell PllGlJ�t�44 r,, 12 S az:t-L 4-I (] r 07-L. f jt z 1,2,7 <br /> pH E C,Temp Meter Calibration Date Time Meter Serial No <br /> E C 1000 !. pH 7 / PH 10 ! pH 4 <br /> J <br /> Temperature ° Fc <br /> Signature Reviewed By 4 Lo <br /> Page Z of <br />