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TE SAMPLE FIELD DATA SHEET Rev. 1'92 <br /> PROJECT NO: �3�"6,del SAMPLE ID: C� I <br /> EMCON PURGED BY: <br /> ASSOCIATES CLIENT NAME: <br /> V 'L1 <br /> SAMPLED BY: LOCATION: d <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) : NJe _• CALCULATED PURGE (gal.) : <br /> If <br /> DEPTH TO WATER (feet) : ACTUAL PURGE VOL. (gal.) : <br /> DATE PURGED: 12jr,IA End Purge <br /> DATE SAMPLED: Sampling Time tZi.�J <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> _400 H0 (units) (pmhosi=p 25°C) (°F) (visuaUcobalt <br /> (gal.) ) (visuaUNTU) <br /> Iwo ros <br /> OTHER ODOR: I.6 <br /> (COBALT 0-100) (NTU 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (i.e. FB-1, X-DUP-1) : <br /> PURGING ECUIPM �IT SAMPLING EQUIPMENT <br /> 2'Bladder Pump Badiie iTefionn) 2'Bladder Pump Bailer(Teflon(&) <br /> Centrifugal Pump / Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper b— Submersible Pump <br /> 'Nell WizardTM Dedicated Well Wizardrm Dedicated <br /> Cther: / Other: (o -Lr71 az4r r_�l hce-4- <br /> WELL INTEGRITY : U51r� LOCK# : <br /> R MARKS : (�/�rtf1L L0.1d sties <br /> pH. E.C..Temp. Meter Calibration: Date: )1�Ly Time: �' Meter Serial No.: <br /> E.C. !000 (`.l✓V pH 7 � pH 10 �� pH 4 !f-Gs, <br /> Temoerature ° F: 7 O'Z tfsi�, <br /> S anature: Reviewed By: page of 3 <br />