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lr�� WATER SAMPLE FIELD DATA SHEET Rev 1/92 <br /> VPROJECT NO SAMPLE 1D L` Z t <br /> EMCQN - --- 3 ..— <br /> EMC ON <br /> PURGED BY ,,Af,997"h-2 CLIENT NAME CO <br /> SAMPLED BY LOCATION <br /> —<--/6 <br /> TYPE <br /> Ground Water Surface Water Leachate Other <br /> CASING DIAMETER (inches) 2 3 �r 4 4 5 6 Other <br /> CASING ELEVATION (feet/MSL) VOLUME IN CASING (gal ) <br /> DEPTH OF WELL (feet) - 22- 4 _ CALCULATED PURGE (gat ) -6 <br /> DEPTH TO WATER (feet) , <br /> ( ) _ ��, U�i� ACTUAL PURGE VOL (gal ) <br /> DATE PURGED l'1 End Purge N30/ <br /> DATE SAMPLED Sampling Time r q 7 <br /> TIME VOLUME pH EC TEMPERATURE COLOR TURBIDITY <br /> (2r r LHr a� nitsj (pmhQs��X25° C) )� (vrsua[Icobalt) (visual/Nr U) <br /> `'l =Tri-- —rl � ►'� <br /> —f w� G�' r 72 to <br /> OTHER ODOR <br /> ODOR <br /> (G BAO LT p 100) (IV71-11 0 200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (l e FB-1, X DUP-1) <br /> EQRGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2' Bladder Pump Bailer(Tellon(D) 2'Bladder Pump Bai[er(Tellone) <br /> Centrilugal Pump —Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well WizardTM Dedicated Well WizardT•r Dedicated <br /> Older Other <br /> WELL INTEGRITY LOCK # '37 <br /> tl <br /> REMARKS <br /> pH E C Temp Wier Calibration Date Time Meier Serial No <br /> E C 1000 ! PH 7 r pH 10 pH 4 <br /> Temperature ° F n <br /> Signature <br /> Reviewed By Page of <br />