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WATER SAMPLE FIELD DATA SHEET Rev 1/92 <br /> r <br /> PROJECT NO 1 -0/ SAMPLE ID <br /> EMCON PURGED BY �- s.9 7r7i�t CLIENT NAME 14-my ZC�43 <br /> AStOGIAT Elf <br /> SAMPLED BY LOCATION <br /> TYPE Ground Water Surface Water Leachate Other <br /> CASING DIAMETER (inches) 2 3 4 4 5 6 Other <br /> CASING ELEVATION (feet/MSL) VOLUME IN CASING (gal ) <br /> DEPTH OF WELL (feet) _ '0Z Y fr CALCULATED PURGE (gal ) „!_. <br /> DEPTH TO WATER (feet) ACTUAL PURGE VOL (gal ) 5ri <br /> DATE PURGED IJfS ti End Purge <br /> DATE SAMPLED Sampltng Time <br /> I <br /> TIMEVOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> {2400 Hr) al (µmhos/an@ 25'C) 'F) (vvisual/oobalt) (visuai/NTU) <br /> n <br /> OTHER ODOR <br /> (coag 0-100) (NTU 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (i a FB-1. X-DUP-1) <br /> PURQjNQ EOIJIPMENT SAMPLING EQUIPMENT <br /> 2-Bladder Pump Bailer(Teftone) 2'Bladder Pump —a.--Badw(Teflone) <br /> Centrifugal Pump A-- Bailer(PVC) Bomb Sampler Baller(Stainless Steely <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Welt WizardT" Dedicated Well Wizard"4 — Dedicated <br /> Other Other <br /> WELL INTEGRITY LOCK# <br /> REMARKS <br /> pH,E C.Temp Meter Calibration Date Time Meter Serial No <br /> E C 1000 L_ pH 7 / _ pH 10_ j pH 4 — I <br /> - <br /> Temperature °F <br /> Z <br /> Signature �� Reviewed By Page ' of <br />