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WATER SAMPLE FIELD DATA SHEET Rev 1192 <br /> IOU PROJECT NO (�G'7��Uf -G? SAMPLE ID. 1'7IO-1 L9. <br />! EMCON PURGED BY .4-c4,rrr r n N CLIENT NAME. f c 2133 _ <br /> ASSOCIATES <br /> SAMPLED BY 6 LOCATION <br /> TYPE Ground Water _� Surface Water Leachate Other <br /> CASING DIAMETER (inches) 2 3 _ 4_aC_ 4 5 6 Other <br /> g'U <br /> CASING ELEVATION (feet/MSL) IN CASING (gal) <br /> MSL) �•� <br /> DEPTH OF WELL (feet) 2p'3 CALCULATED PURGE (gal ) <br /> DEPTH TO WATER (feet) I6.<6 ACTUAL PURGE VOL (gat) �•0 .. <br /> DATE PURGED z2 5 _ End Purge I ljq <br /> DATE SAMPLED 6 Sampling Time _ I/q <br /> TIME VOLUME pH /�,E C TEMPERATURE COLOR TURBIDITY <br /> (Z.i )1� - (units) (}imh"l, 25 C) / �F�q (0isu� (visual/ ) <br /> icy �d <br /> c t( U r J�j A tS <br /> OTHER ODOR <br /> (CO Taloa) (NTUb-200) <br /> FIELD QC SAMPLES COLLECTED ATTHiS WELL (1 a FB-1,X-DUP-1) <br /> 1 <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Y Bladder Pump Bailer(Teflon®) 2'Bladder Pump —,A:-8aller(Teflom) <br /> _,„k:_"Centrilugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well WizardTIA Dedicated Well WlzardT" Dedicated <br /> Other Other <br /> WELL INTEGRITY r r &HT LOCK# <br /> REMARKS gtdg P1 a_Wajwz1 4, <br /> q <br /> pH,E C,Temp Meter Calibration Date Time 16Meter Serial No <br /> EC 1000 tIS�.!I_WQ_ pH J16% _/4 pH 10 .tel I'l-W pH4 �1�--- <br /> Temperature ° F ' <br /> Signature -Reviewed 8y: Page <br />