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WATER SAMPLE FIELD DATA SHEET Rev 1192 <br /> �U0 PROJECT NO .O SAMPLE ID M D`;? __- <br /> EMCON PURGED BY s C9 l s�C!1»?rn 1 CLIENT NAME A.('CQ Z S 33 <br /> ASSOCIATES <br /> SAMPLED BY LOCATION �� <br /> TYPE Ground Water Surface Water Leachate Other <br /> CASING DIAMETER (inches) 2 3 4 _X_ 4 5 6 Other <br /> CASING ELEVATION(feeVMSL) VOLUME IN CASING (gal ) 9• 5� - <br /> DEPTH OF WELL (feet) �� - CALCULATED PURGE (gal ) ,. Z:2. '7- <br /> DEPTH <br /> 9. ZDEPTH TO WATER (feet) �3 ACTUAL PURGE VOL (gal.) <br /> DATE PURGED ! End Purge 1 U 3 <br /> DATE SAMPLED L�.�, Sampling Time 7 y <br /> TIMEH E C TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) VOLa 0 �,�� hoslar�@?5'C) F] {VlSuaV�� (risuaVNTU) <br /> .� _.. �r]'11 7. 111 Aj <br />• <br /> OTHER ODOR fid` <br /> (CO LT 0 100) (NTU 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (t e F13-1, X-DUP-1) <br /> PURGING EQUIPMENT SAMPLING <br /> 2'Bladder Pump Bailer(Teflon®) r Bladder Pump Bailer(Tellone) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bader(Stainless Steel) Dipper Submersible Pump <br /> Well Wlzardm Dedicated Weft Wlzardn, Dedicated <br /> Other Other <br /> WELL INTEGRITY 622Afir M4- �-`�' BLOCK#: 30 <br /> REMARKS `� `s (W-3 <br /> it) Z3 j CIA 1 14 r2l <br /> pH EC Temp Meter Calibration Date Time Meter Serial No <br /> E C 1000 _i--_ pH T ! PH 10 / PH 4 <br /> Temperature °F Or/y <br /> Signature Reviewed By- Page of <br />