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WATER SAMPLE FIELD DATA SHEET Rev 1192 <br /> PROJECT NO �`1�i � ,t` � c c f j �� <br /> SAMPLE 1D FC -'S <br /> EMCO N PURGED BY I 1 t �l t r;c ti, CLIENT NAME "`t C(D <br /> SAMPLED BY j- LOCATION r , ( ?,I <br /> TY°E Grouna Water `<, Surface Water Leachate Other <br /> CASING DIAMEi-R (Inches) 2 'L 3 4 4 S Other <br /> CASING ELEVATION (feet/MSL) VOLUME IN CASING ,gal ) <br /> DEPTH OF WELL (feet) �� G� CALCULATED PURGE gal ) <br /> DEPTH TO WATER (feet) I Z- lACTUAL PURGE VOL (gat ) <br /> DATE PURGED End Purge <br /> DATE SAMPLED Samplino Time <br /> TIME <br /> 2400Hr) 'OLUME pH E C TEMPERATURE --OLOR TURBIDITY <br /> l9al) (units) (FtMosicim-0 25'CI (*F) �vI.sunVCOCatt) IvtsuatlNTUt <br /> OTHER / 000R <br /> (COBALT 0 100) yTU p <br /> FIELD OC SALIFfLES COLLECTED AT THIS WELL (I a FB-1, X DUP-t) <br /> or , <br /> SAMRLINr =n IIPME T <br /> 2`Bladder Pump Bader(Tellon0) 2'Bladder Pump Batley(T@Ron®) <br /> Centrttuaa Pump �- Bailer(PVC) Somb Sampler Batier(Statnleas Steell <br /> Submer=a Pump Batter(Statniess Steell Dipper Submemote Pump <br /> Well Wtsardr" Dedicated Well Wizardirm Dedtr�tttla <br /> Other Other <br /> WELL. INTEGRITY <br /> LOCK # 24 Ln Lf,�� <br /> REMARKS = CIA A.1% % M�1, � o' (14w-ue <br /> .12 <br /> C{ r <br /> f <br /> PH c C Temp Meer Calibrado=r' te Tlme Meter Seriai No <br /> EC ;CCC pH 7 pH 10 <br /> Temoetature F <br /> Siarzature- ' / X�IG .� L Irl`" ti 13 <br /> Reviewed By Page <br /> t <br />