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• Ira ilk <br /> WATER SAMPLE FIELD DATA SHEET Rev. 1/92 <br /> PROJECT NO: SAMPLE ID: <br /> EMCON PURGED BY: _S- ,r,.,„� j CLIENT NAME: <br /> — — -e <br /> SAMPLED BY: LOCATION: <br /> TYPE: Ground Water _'X' Surface Water � Leachate Other <br /> CASING DIAMETER(inches): 2 3_� 4 4.5 6 Other <br /> CASING ELEVATION(feeVMSL) : VOLUME IN CASING (gal.) : <br /> DEPTH OF WELL (feet) : .4 CALCULATED PURGE (gal.) <br /> DEPTH TO WATER (feet) : ACTUAL PURGE VOL- (gal.) : <br /> DATE PURGED: End Purge <br /> DATE SAMPLED: Sampling Time <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> `2400 Hr) (9 un (l,mtlos/am@ 25'C) �'l (visuaUcobait) (vlsuamm) <br /> OTHER ODOR: <br /> (COB LT 0-100) (N'YO 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (i.e. FB-1, X-DUP-i) : <br /> 2'Bladder Pump Bailer(Teflon®} 2'Bladder Pump Bailer(Teflon®) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Baller(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> well Wizard- Dedicated well Wlzard- Dedicated <br /> Other: Other: <br /> C� <br /> WELL INTEGRITY : <br /> LOCK# <br /> REMARKS, <br /> .nt- ketJ .Z <br /> pH, E.C..Temp.`dieter Calibration: Date: , <br /> Time: „ (? <br /> E.C. 1000 ` t 0911 PH 7 G- t Meter Serial No.: <br /> w PH 10 n � I u•� pH4 <br /> Temperature °F: a,�i <br /> Signature: Reviewed By: Z <br /> Page � •of --��. <br />