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�1 WATER SAMPLE FIELD DATA SHEET ­ Rev 1/92 <br /> PROJECT NO �'7����J� 01 SAMPLE ID j!5-7 (1-re' ) <br /> EMCON PURGED BY 3CLIENT NAME 4 of 33 <br /> eSSOCiA*f5 - - - <br /> SAMPLED BY LOCATION 15r(_6C k kr-- <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 W CASING (gal ) <br /> DEPTH OF WELL (feet) CALCULATED PURGE (gal ) r <br /> DEPTH TO WATER (feet) ACTUAL PURGE VOL (gal ) <br /> DATE PURGED End Purge N 7 <br /> DATE SAMPLED Sampling Time _._.. �� . „ <br /> TIME VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) ,__l, ( t�V (µmhos/ (qD 250 C) ('F) (visuaUtobalt) (wsual/NTU) <br /> -71S 4UH <br /> —� — - ' <br /> OTHER ODOR <br /> (COBALT 0-100) RTU o-2oa) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (i a FB-1, X-DUP-1) <br /> PURGING EQUIPMENT SAMPLING EQUIPME <br /> 2'Bladder Pump Baler(Teflon®) 2-Bladder Pump aiiw(Teflone) <br /> Centrifugal Pump 4„ ler(PVC) Bomb Sampler Saner(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard^K Dedicated Well wizards Dedicated <br /> Other Other <br /> WELL INTEGRITY f r LOCK 0 IZ(l) <br /> REMARKS <br /> PH,E C,Temp Meter Calibration Date Time Meter Serial No <br /> E C 1000 L- pH 7 / PH 10—jr pH 4 / <br /> Temperature °F <br /> Signature _ - Reviewed By: Page of ! <br />