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WATER SAMPLE FIELD DATA SHEET <br /> Rev. 1142 <br /> • PROJECT NO: z5w—lrj2. SAMPLE ID: _ <br /> EMCON PURGED BY: SCLIENT NAME: <br /> SAMPLED BY: LOCATION: <br /> TYPE. Ground Water �_Z< Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 3 4 4.5 6 Other <br /> CASING ELEVATION(feet/MSL) : VOLUME INCASING (gal.) : <br /> DEPTH OF WELL (feet) : CALCULATED PURGE (gal.) : <br /> DEPTH TO WATER (feet) : ACTUAL PURGE VOL. (gal,) : <br /> DATE PURGED: <br /> I End Purge <br /> DATE SAMPLED: Sampling Time <br /> TIME VOLUME PH E.C. TEMPERATURE COLOR TURBIDITY <br /> `2400 Hr) {g_ ,nom) (µmhoslan@ 25•C) �� (visnaucobait) (vlwauMU) <br /> OTHER ODOR: 1� <br /> (COB LT o-100) (A! 0-200) <br /> FIELD CC SAMPLES COLLECTED AT THIS WELL (i.e. FB-1, X-DUP-1) <br /> PURGING EQUIPMENT <br /> 2'Bladder Pump Bailer(Teflon®) Z•bladder Pump Balms(Tenon®) <br /> Centrltugal Pump Bailer(PVC) Bomb Sampler Bailer(Stak"lls Susi} <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submemoie Pump <br /> Wen Wizard►N Dedicated Well Wiza"Fru Dedi=led <br /> Other: Other: r <br /> WELL INTEGRITY : .4� LOCK 0 : <br /> REMARKS: f .Z <br /> pH. E.C..Temp.Meter Calibration: Date: <br /> Time: Meter Serial No.:E.C. 1000 (}�U I D� pH 7 �i' r � pH 10 � L ! v'V12, pH 4 <br /> - Temperature °F: ' <br /> Signature: Reviewed By: Pe ,� <br /> 9 of —� <br /> Page <br />