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�1 WATER SAMPLE FIELD DATA SHEET Rev 1192 <br /> PROJECT NO Q�7/�J/ CJ SAMPLE ID -z—g� <br /> ASSOCtATES EMCON PURGED BY � CLIENT NAME /f/LQ f of <br /> SAMPLED BY LOCATION —717� C L/l <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 1N CASING (gal ) <br /> DEPTH OF WELL (feet) CALCULATED PURGE (gal ) <br /> DEPTH TO WATER (feet) _ ��'�,Z_ _— ACTUAL PURGE VOL (gal ) -7.Q <br /> DATE PURGED l� End Purge <br /> DATE SAMPLED ! Sampling Time <br /> TIME VOLUME PH E C TEMPERATURE COLOR TURBIDITY <br /> (2r6DO l <br /> gal (uni[5)r {µmhosltm 250 t;) (°F) (visuaVcobali) (visuaVNTU) <br /> —� {L� <br /> 1 vZ � •® �v�' y 7�• <br /> OTHER---- ODOR <br /> ..., <br /> (C ALT 0.100) (NTU 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (i a FB-1, X-DUP-1) <br /> PURGING_EQUIPMENT SAMPLING EQIJIPMFNT <br /> 2`Bladder Pump Bader(Tellone) 2'Bladder Pump ailer(Teflone) <br /> Centrifugal Pump —Baler(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bader(Stainless Steel) Dipper Submersible Pump <br /> Well Wizards Dedicated Well Wtzardrm Dedicated <br /> Other Other <br /> WELL INTEGRITY '`�`� 2Tlcf // LOCK# <br /> REMARKS <br /> PH, E C Temp Meter Calibration Date Time Meier Serial No <br /> E C 1000 i - pH 7 ! pH 10 ! pH 4 ! <br /> Temperature °F <br /> Signature u� Q <br /> �� Reviewed By Page / of , 2 <br />