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� * WATER SAMPLE FIELD DATA SHEEN' Rev 1,92 <br /> PROJECT NO C t <br /> SAMPLE ip -+—I (zc) <br /> EMCON PURGED BY (-I <br /> CLIENT{NAME �_ ��'i O� �C, --3SAMPLE❑ BY l LOCATION <br /> TYPE GraUnd Water Surface Water Leacnate Other <br /> CASING DIAMETER (Inches) 2 3 4 4 5 <br /> 6 Other <br /> CASING ELEVATION (feeVMSL) VOLUME IN CASING (gal ) <br /> DEPTH OF WELL (feet) CAL^IULATED PURGE (gal ) <br /> DEPTH TO WATER (feet) �)L ACTUAL PURLRE VOL (gar ) -7 0 <br /> F <br /> URGEfa � , �'t 7 End Purge pa37MPLED Samaling Time �ys <br /> TIME JOLUME pH E C –EMPERATURE COLOR <br /> zaoa Ho TURBIDITY <br /> (units) (Imnos/cmrg)25°C) ff) (visuallmbatt) (visual NTU) <br /> r <br /> OTHER ODOR (COBALT 0 100j (NTU 0-200)r <br /> f <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL 0e FB-1 X-OUP-1) <br /> p <br /> F <br /> 2'Bladder Pump Bader(Tellontl4y 2-Bladder Fum <br /> p Bauer(Tetlana) <br /> Cenuttugal Pump Al Sailer(PVC) iamb Sama+e► Bailer(Stainless Steel) <br /> Submersible Pump Bader(Statntess Steel) Dtpper <br /> Subrtlertslble Pump <br /> Well wtzararm Dedicated <br /> Well Wtzatdrw C7edtaatted <br /> Other <br /> Other <br /> WELL INTEGRITY � LOCK x c� <br /> REMARKS Ut MlL 4 �CI , Zcliz G k Lrk <br /> pH EC Temp Meter Cahhratton Date Tme <br /> No <br /> E C 1000 -�r �� pl17 '� f U '7 00 � a Meter Serial:E <br /> pH 10 +� iC V�� pH 4 � ,r <br /> Temnerature ° y Otf <br /> Signature <br /> Reviewed 8v - ' Page ot <br /> !3 <br /> v <br />