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Rev 3,2/94 <br /> WATER SAMPLE FIELD DATA SHEET <br /> EMCON PROTECT NO / ~' 7 S 7r�1 SAMPLE ID. <br /> 481110CIAT93 PURGED BY rrr/1 /� <br /> CLIENT NAME <br /> SAMPLED BY LOCATION <br /> Ground Water <br /> TYPE, r <br /> ter Surface Water Treatment Effluent Other <br /> CASING DIAMETER (inches) 2 3 4 4 S 6— Other <br /> CASING ELEVATION (feet/MSL) r' VOLUME IN CASING <br /> DEPTH TO WATER t l�-.�S (gal) <br /> DEPTH ro FP eel) CALCULATED PURGE (gal) <br /> /�.oZ ACTUAL PURGE VOL (gal) <br /> DATE PURGED %' Start (2400 Hr) End (2400 Hr) <br /> DATE SAMPLED Start (2400 Hr) End (2400 Hr) �.., <br /> TIME VOLUME PH EC TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) (gal) (units) (lunhosJcm@ 2S°C) ("f=) (visual) {visual) <br /> D O (ppm) ODOR �/�-- <br /> Field QC sampl sL ed at this well Parameters fie fl Tired at this well (COBALT 0.500) {NTU 0-200 <br /> 0(0. 1000) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2'Bladder Pump Bader(Tefton*) 2 Bladdar Pump Bader Teflon® <br /> Centn}ugai Pump - Baler(PVC) DDL SamplerBader(Stainless Steel <br /> Submersible Pump Bader(Stainless Steel) Dipper <br /> Subrrsorsiblo Pump <br /> Well VAzateirm Deduatad Well wzarbTM Doted <br /> Other Other <br /> WELL INTEGRITY <br /> LOCK# <br /> REMARKS <br /> Meter Calibration- Date Time Meter Serial# �;v� �' Temperature of <br /> ( EC1000 / ) (DI —) (pH7 / <br /> ) (pH 10 / ) (pH4 / } <br /> Location of previous Cafrbtation <br /> Signatur�i� off y j`� <br /> Reviewed By Page 3 of <br />