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WATER SAMPLE FIELD DATA SHEET Rey 3'90 <br /> PROJECT NO SAMPLE ID <br /> PURGED BY CLIENT NAME <br /> SAMPLED BY LOCATION <br /> TYPE Ground Water — Surface Water Treatment Effluent Other <br /> CASING DIAMETER (Inches) 2 3 4 4 5 6— Other <br /> CASING ELEVATION (leet/MSL) VOLUME IN CASING (gal ) <br /> DEPTH TO WATER (feet) CALCULATED PURGE (gal ) <br /> DEPTH OF WELL (feet) ACTUAL PURGE VOL (gal ) <br /> GED Start(2400) 4 <br /> DATE PUR End(2 00) <br /> DATE SAMPLED Start(2400) End(2400) <br /> TIME VOLUME pH EC TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) (gat) (units) (pmhoWc:m@ 25°C) (°) (visual) (wjual) <br /> D O (Ppm) ODOR (COeALT a-100) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (i a FB-1, X-DUP-1) <br /> PURGING EQUIPMENT <br /> r r Bladder Pump Ballot(Tenon®) 2'Blaww Pump Baller(Tenes) <br />[f Centritugal Pump Barter(PVC) DDL Sampler Ballet(Stainless Swel) <br /> Submersible Pump Bauer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard" Dedicated Well wlzarDedicated <br /> Other Offer d"r <br /> WELL INTEGRITY _ LOCK# <br /> REMARKS <br /> Meter Calibration Date Time Meter Senate _ Temperatures <br /> (EC 1000 /_ )(DI H2O )(pH 7 / )(pH 10 / )(pH 4 / ) <br /> CSIGNATURE Reviewed by <br /> I FIB3 <br /> URE <br /> • �1 EMCON <br /> WATER SAMPLE FIELD DATA SHEET �2 <br /> E Associates <br />