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A SHEET Rev 1192 <br /> WATER SAMPLE FIELD DAT <br /> WPROJECT NO `�"iS• SAMPLE ID ttiw�Z <br /> EMCON PURGED BY S G^ t^�`'- CLIENT NAME <br /> •asoci•reS <br /> SAMPLED BY LOCATION ;k� ter <br /> TYPE Ground Water t4- Surface Water Leachate Other <br /> CASING DIAMETER(inches) 2 3 4 jf 4 5 6 Other, <br /> CASING ELEVATION(feeVMSL) VOLUME IN CASING (gal ) 5147 17• <br /> DEPTH OF WELL (leet) Z CALCULATED PURGE (gal.) 1• <br /> DEPTH TO WATER (feet) Z� ACTUAL PURGE VOL (gal.) <br /> DATE PURGED 1Z 'L End Purge Z06 <br /> DATE SAMPLED Sampling Time t Z 15- <br /> EC TEMPERATURE COLOR TURBIDITY <br /> TIME VOLUME pH hos/an@ 2S•C) (•F) (wsuaf/ocbm) (Visuewru) <br /> (2s a r) ( (units) {WM <br /> ZU _ •1 - ']2 7 <br /> 20� <br /> T7. 1-7 <br /> ODOR OR - <br /> (COBALT 0-100) (NTU 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (1 a FB-1, X-DUP-1) <br /> PURGING EQUIPME SAMPLINra <br /> 2'Bladder Pump Bader(Teflon®) r Bladder Pump Seiler(Tmkwo) <br /> Centrifugal PUMP Bailer(PVC) Bomb Samplor Baler(stahiem Steel) <br /> Submersible Pump Bader(stainless Steal) Dipper Submersible Pump <br /> �. <br /> Well WizardTm Ciedicated well Wlzardfm Dedicated <br /> Other Other <br /> WELL INTEGRITY LOCK d <br /> REMARKS <br /> PH,E C.Temp Meter Calibration Date Z v Time Mater Serial No <br /> E C 1000 Cl-t (C-IQ Q PH 7 PH 10 n QQ PH4 <br /> Temperature *F 4 <br /> Signature .. Reviewed By Page ------ <br /> !2zzOf <br />