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WATER SAMPLE FIELD DATA SHEET Rev 1192 <br /> PROJECT NO 01 SAMPLE ID A-,-1Z ' `I <br /> EMCON PURGED BY SGr•+- C-OwIIZ 1 CLIENT NAME 12KQ ZOJ 2 <br /> AS so CUT E9 <br /> SAMPLED BY �1, - LOCATION T'W <br /> TYPE Ground Water Surface Water Leachate Other <br /> CASING DIAMETER (inches) 2 -,'If 3 4 4 5 6 Other <br /> CASING ELEVATION (feet/MSL) VOLUME INCASING. (gal) <br /> DEPTH OF WELL (feet) Z5, U CALCULATED PURGE (gal) Z <br /> DEPTH TO WATER (feet) 1U' 3y_ ACTUAL PURGE VOL. (gal ) -- <br /> DATE PURGED I 1Sr End Purge <br /> DATE SAMPLED 56 Sampling Time I yZ S <br /> TIME VOLUME PH EC TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) {gal) (uni (umhos/cm@ 25•C) (°F) (visual/cobalt) (visual/NTU) <br /> Ite <br /> 7e h &u-1 , mak <br /> OTHER - ODOR <br /> (COBALT o-100) (NTU 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (I a FB-1, X-DUP-1) � <br /> PURGING EQUIPMENT SAMPLING EQUIPMENt <br /> r Bladder Pump Bailer(Tenon®) 2'Bladder Pump Bailer(Tena,®) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> wen MzarcV" Dedicated well wizard"+ Dedicated <br /> Other Other <br /> WELL INTEGRITY _6W LOCK# <br /> REMARKS <br /> pH, E C,Temp Meter Calibration Date Time Meter Serial No <br /> E C (000 pH 7-1 pH 10 / pH 4 <br /> Temperature °F <br /> SignatureReviewed By Page �---� of <br />