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WATER SAMPLE FIELD DATA SHEET rev �2 <br /> PROJECT NO �`l7z�; -ID6 L-�D 1 <br /> SAMPf_E 1D A`f P -,S <br /> EMCON PURGED BY l`1 I CLIENT NAME c, Uq3 <br /> SAMPLED BY J LOCATION t aAG <br /> TYPE Ground Water Surface Water Leachate _ Othr•r <br /> CASING DIAMETER (Inches) 2 3 'L Q 5 6 Other <br /> CASING ENATION (feet/MSL) VOLUME IN CASING (gal ) `1 <br /> DEPTH OF WELL (feet) 0 3 CALCULATED PURGE (gal ) 7M :� r <br /> DEPTH TO WATER (feet) f ) D`� ACTUAL PURGE VOL (gal ) <br /> DATE PURGED 5 End Purge ) I <br /> DATE SAMPLED Sampling rime la <br /> TIME VOLUtt'.c PH EC TEMPERATURE COLOR TURBID'" <br /> (2400 Hr) unit,) (µmhosicrri �•C) <br /> (gal)r� � ) -3 <br /> `� Oji ('F) 2 ('tL i t�Obalt) (vllsuatiNT„ <br /> ODOR '' <br /> a <br /> (C08ALT 0 100) (NTLI 0 2-- <br /> FIELD CC SAMPLES COLLECTED AT THIS WELL 09 FB--. X-DUP-1) _ <br /> 2•Bladder Pump Barter (Teflonao) 2'Bladder Pump Bader(Teflon®) <br /> �� Canatlugal Pump Bailer(PVC) Bomb Sampler Bailer{Stainless S _i�i <br /> - Submersible Pump Bader(Statntess Steel) Dipper Submersible Purr- <br /> WON WL=rdTm Dedicated Well Witard'Fm Dedieatetl <br /> Other Other <br /> WELL INTEGRITY 1115 LOCK st a <br /> REMAR -ice .i . # - <br /> Tw 1 1 C', Z r � �— <br /> pH E C Temp Meter Galibratic- pate AT Q - Time Meter Serial No <br /> EC 1000 I)H 7 , t71i 1^ <br /> Temperature °F <br /> Signature. r ,t,t S 1 <br /> Reviewed t3, page 0f <br />