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WATER SAMPLE - FIELD DATA SHEET- Rev 1'92 <br /> PROJECT NO _6671—U 11 CilSAMPLE ID r ZZ <br /> • EMCON PURGED BY S_G�_�cam�m CLIENT NAME A o <br /> +ss oc I^TIES - - , <br /> SAMPLED BY — - �, LOCATION S�aGk?7� <br /> TYPE Ground Water . :2!f Surface Water Leachate Other <br /> CASING DIAMETER (Inches) 2 3 4 4 5 fi Other <br /> CASING ELEVATION (feet/MSL) VOLUME IN CASING (gal ) —Z b <br /> DEPTH OF WELL (feet) ?iZ 5 CALCULA'T'ED PURGE (gal.) —7 <br /> DEPTH TO WATER (feet) ��'y 3 ACTUAL PURGE VOL. (gal ) y _, <br /> DATE PURGED End Purge 1 <br /> DATE SAMPLED �� Sampling Time _ <br /> TIME VOLUME pH EC TEMPERATURE COLOR TURBIDITY <br /> (2400 Hrl (units) (y, <br /> ai mhoWcrrn@ 230 C) (+F) (visual/cobalt) (visu NTU) <br /> 1 Oz <br /> 1X37 �� I ov L. y IL <br /> OTHER ODORc - <br /> (C08ALTx100) (NTU 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (I a FBA. X-DUP-1) / <br /> -r <br /> PURGING EQUIPMENT SA6 <br /> r Bladder Pump Baler(Teflon&) 2•Bladder Pump Boller(Tenon®) <br /> Centnfugai Pump _ Bailer(PVC) Bomb Sampler Bailer(Stalntess Steel) <br /> Submersible Pump Bader(Stainless Steel) Dipper Submersible Pump <br /> Well Wizardn4 Dedicated Well Wlzard M Dedicated <br /> Other Other <br /> WELL INTEGRITY LOCK 0 7-1O <br /> REMARKS <br /> PH, E C,Temp Meter Calibration Date Time Meter Serial No <br /> . E C 1000 pH 7 pH 10 pH 4 <br /> Temperature °F <br /> Signature _ <br /> — Revlewed By Page at _7 <br />