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WATER SAMPLE FIELD DATA SHEE-' Rev 1192 <br /> PROJECT ;10 1 "?-7 -If-0 <br /> - SAMPLE ID <br /> EMCCN � ~ <br /> CLIENT NAME_ <br /> -AMPtE`?5Y LCC.;TiON ;1 <br /> C` 4, Iter + l <br /> ' :round Waters Surface Water J Leacrlate <br /> Other <br /> Cr.aiNG DIAMETER (incne5l ? 3 `� 4 <br /> Other <br /> -SiNG ELEVATION (feet/MSL) VOLUME f^! CASING ;at <br /> DEPTH OF WELL (feet) CALCULATED PURGE gat ) <br /> DEPTH TO WATER (feet) "` " ACTUAL PURGE VOL ,,at ) <br /> -------------- <br /> DATE PURGED End Purge <br /> -ATE SAMP= <br /> cy,�r�1VV�i� Sat7t011rlO I te <br /> - "1E / <br /> _00 Hrl YIOLUME PH = C TEMPE=ATURE ,CLCIS(' Tt1RBIotTY <br /> (gal ) (units) rlunnos�ar,(a) 25• Cl 'Fl (f1su.wcooam NtsuallNTU) <br /> 7HER ZOCR <br /> (caeAa_r o toot' {No_z�y <br /> "ELD OC SAMPLES COLLECTED AT IS WELL ;i e Fe-t X DLIP 1) <br /> PURGING M <br /> 8ladaer Pump/! fader(Teflonc+9) 2'l�ladp aer Pum <br /> Cantntugat Purse atles(Teflonm) <br /> Bailer IPVCy comb Samoier sailer(Stakap=a Stae1) <br /> Submer !e Purrep 9atler(Stainless Steell Dipper <br /> 5ubmersmte pomp <br /> WizaroTM Dedleama Well W,zararw <br /> Dedicated <br /> Other <br /> WELL 11"ITEGRiTY <br /> r LOCK � �7_IU <br /> PE"A KS " 1" - <br /> �,tr <br /> pr' = = `amp Meter Cal,branorr Date Time <br /> E Y czo rt' 7 `tater Serial No <br /> �P H 10 <br /> Te^'�eraturg/-' F <br /> Reviewea By Paae r of <br />