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WATER SAMPLE FIELD DATA SHEET- -s" 1`92 <br /> PRO-=-:;T NO !t !l - !�_ C CC I <br /> SAMPLE IQ. � I �Z- F <br /> EMCON OURGED BY --LIENT NAME -`c rc CENEEREW <br /> Y �� t c -rte LOCATION "r t <br /> r <br /> TYPE Grouna Water k Surface Water Leachate Other <br /> CASING DIAMETER (,^cries) 2 3 4 4 5 6 Other <br /> CASING ELEVATION (feet/MSL) VOLUME IN CASING (gal ) <br /> DEPTH OF :TELL (feet) CALCULATED PURGE (gal ) <br /> DEPTH TO WATER (feet) ACTUAL PURGE VOL (gal <br /> DATE PURGED / End Purge <br /> DATE • e-- Samnitng Time <br /> TIME <br /> 2400 Htf 'IC'-U".1E pH E C TEMPERATURE COLOR _TIJFCT1DITY <br /> Vag i (units) (iunnosler 4 25"C) (°F) (visuaU�tV (visuatrNTU) <br /> I <br /> r <br /> OTHER ODOR <br /> (COBA�L�TO i00) (N�200) <br /> ` <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL ti a FS-1 X DUP-11 <br /> PURL `!G, EQUIPM-ENT SAMPLING EQUIPMENT <br /> 2'Bladder Puma Bader 2'Bladder Pump aaonQri <br /> CentritUaal Pump alter(PVC) Bomb Sampler ailer(Stainless Steel) <br /> Submersioie Puma Halter(Stainless Steel) <br /> Diaper Subrnersrble Pimp <br /> Well Wizar Dedicated Well Wiz <br /> Declumaed <br /> Other <br /> Other <br /> WELL INTEGRITY 'x' I,� �E lr L� oOX r l� �r �'Q�t� �` LOCK �Zl� <br /> REMARKS ] )f. ' I , + I t J, LL �: ` o(' ..►. <br /> r " <br /> pH E C Temp Meter Cay:.:anon pare Tme Meter Serial No <br /> I-- <br /> E C t 000 � <br /> 7 _, pH 10 . PH 4 r i <br /> Temoeratura F <br /> Signature3 <br /> J Reviewed By Page of -- 3 <br /> r <br />