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Rev 132 <br /> WATER SAMPLE FIELD DATA SHEET <br /> PROJECT NO l.J1 1'~C�`� � SAMPLE ID <br /> EMCON PURGED BY - �' CLIENT NAME <br /> .ssocI.res <br /> SAMPLED B LOCATION L,L <br /> TYPE Ground Water Surface Water chate — Other <br /> CASING DIAMETER (inches) 2 3 L 4 5 6 Other <br /> CASING ELEVATION (feet/MSL) VOLUME IN CASING (gal ) -7• 1, <br /> DEPTH OF WELL (feet) ' CALCULATED PURGE (gal ) Zy 'll <br /> DEPTH TO WATER (feet) 4` I ACTUAL PURGE VOL (gal ) <br /> 1 Z Z C1 Z End Purge <br /> DATE PURGED �SS— <br /> DATE SAMPLED Sampfing Time <br /> 11 ek <br /> PH EC TEMPEUTURE COLOR TURBIDITY <br /> TIME VOLUME (wn <br /> l� l.�• r )C1(2400 ��"vtl L <br /> lZ 2�-S i.e. 2 1 -' <br /> Li Cl 0 <br /> DISSOLVED OXYGEN(ppm) ODOR (COBALT ) (NTt10-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (ie FB-1, X-DUP-1) <br /> PIIRQING EDUIPMENT <br /> r Bladder Pump <br /> Bailer(Tenon®) r Bladder Pump Bailer(Tenone) <br /> Centtdugal Pump <br /> Bailer(PVC) Bomb Sampler Baler(stemless Steel) <br /> Submersible Pump <br /> saw(Staxtless Steel) Dipper Submersible Pump <br /> Well wizard'4 <br /> pedrmtea well wizard"' Dedicated <br /> otmer 1 Other <br /> WELL INTE {TY r C # IIOEM <br /> L'.tire+trvlL�L L W�, 7i l <br /> l 2 l Z Jame Meter se j IT I <br /> pH EC Tetnp� Cal�br� fa� , �' H 10 �. PHAS�`j <br /> E C 1000 [J `L. .1 pH 7 —�—^ p <br /> Temperature ° F <br /> Signature Reviewed sy of <br /> Page <br />