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O <br /> �1 <br /> f�t 1 IN WATER SAMPLE FIELD DATA SHEET Re". 1/92 <br /> PROJECT NO: ICXJ• Ll L SAMPLE ID: HJT <br /> EMCON <br /> ASSOCIATED PURGED BY: 1�-. (o1A-GaTn�•w"i CLIENT NAME: <br /> SAMPLED BY: LOCATION: tlT�',iq <br /> TYPE: Ground Water' Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 3 4 4.5 6 Other <br /> CASING ELEVATION (feet/MSL) : VOLUME IN CASING (gal.) : <br /> DEPTH OF WELL (feet) : CALCULATED PURGE (gal.) : <br /> DEPTH TO WATER (feet) : ACTUAL PURGE VOL. (gal.) : <br /> DATE PURGED: End Purge / <br /> DATE SAMPLED: J._ Sampling Time 4 <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (24 00 <br /> i�r7� {µmhasl @ 25°Cy (°F� (Vis�aabalt)� (vias�atlNl•U) <br /> OTHER _ ODOR: <br /> (COBALT 0-100) ( -200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (i.e. FB-1, X-DUP-1) : <br /> EQUIPMENTPURGINC2 EQUIPMENT SAMPLING <br /> 2'Bladder Pump ailer(TeflonlD) 2'Bladder Pump Ballet(TBtS) <br /> Centritugal Pump Bailer(PVC) Bomb Sampler Bailer(S ttaiNless'Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> well Wizard*,+ Dedicated Well WizardTM Qedicated <br /> Other: Other: <br /> WELL INTEGRITY : � <br /> LOCK# : <br /> MARKS : � <br /> r 1 r 1G <br /> r. <br /> pH, E.C..Temp. Meter Calibration: Date: Time; <br /> Meter Serial No.: <br /> E.C. 1000 4- pH 7 pH 10 <br /> ! pH 4 ! <br /> Temperature ° f=: <br /> Signature: Reviewed By: Page - of <br />