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WATER SAMPLE FIELD DATA SHEET Rav 1192 <br /> PROJECT NO CCO-l'I-O[lq 0 I SAMPLE ID <br /> EMCON PURGED BY I/v— CLIENT NAME 33 <br /> SAMPLED BYy LOCATION <br /> TYPE Ground Water : Surface Water Le chate Other <br /> CASING DIAMETER (Inches) 2 3 4 4 5 6 Other <br /> CASING ELEVATION (feet/MSL) /l VOLUME IN CASING (gal ) _ <br /> DEPTH OF WELL (feet) y� CALCULATED PURGE (gal ) Z5 <br /> DEPTH TO WATER (feet) `y 5 ACTUAL PURGE VOL (gal ) Zc� �0 <br /> DATE PURGED �� End Purge <br /> DATE SAMPLED Sampling Time <br /> TIME VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> 4 �r) cl (yj) U10, (µm s0 ra 25`C) ! (0) O �vi aucobaft} vis�raI1MTU} <br /> ir <br /> ODOR <br /> ' (COBALT 0-100) (NTu 0 200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (i a FB-1, X-DUP-1) - <br /> E RRGING EQUIPMENT SAMPLING EQQIPV� <br /> 2'Bladder Pump Bader(Teflon®) 2'Bladder Pump Bader(Teflon®) <br /> Centrifugal Pump Barter (PVC) Bomb Sampler Barter(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well WizardTM Dedicated Well Wizard^A Dedicated <br /> Other I Other <br /> WELL INTEGRITY _ LOC V <br /> R <br /> pH E C Temp Meter Calibration Date Time Meter Serial No <br /> E C 1000 1 pH 7 pH 10-/- pH 4 <br /> Temperature ° F <br /> Signature g 3 <br /> Reviewed By Pa a of <br />