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Rev 1,92 <br /> WATER SAMPLE FIELD DATA SHEET <br /> PROJECT NO G SAMPLE ID <br /> EMCON PURGED BY Pi ! CLIENT NAME A1Lw 133 <br /> •ssocNAT Es RT n,Q� <br /> SAMPLED BY LOCATION bf lv�►r+ry M <br /> $TaC.,1 TOIII !4 <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 IN CASING (gal ) <br /> DEPTH OF WELL (feet) 2' CALCULATED PURGE (gal ) - <br /> DEPTH TO WATER (feet) <br /> 4 • ACTUAL PURGE VOL (gal ) <br /> DATE PURGED i z End Purge 13 3 t <br /> DATE SAMPLED Sampling Time ' 3r <br /> TIME VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) (9�) (unds) (iLmhowcrn@ 25'C) (OF) {vrsuallwball) (YI512 6N7U) <br /> X32 7- <br /> N(L ODOR STiE_c�Al6 IL N R <br /> DISSOLVED OXYGEN(ppm) (COBALT 0.100) (NTU 0-200} <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (i a FB-1• X-DUP-1) N� <br /> 2'Bladder Pump Bader(Tefioro) — r gladder Pump sailer(Teflone) <br /> Centrifugal Pump 411—, Bailer(PVC) Bomb Sampler Bailer(Stainless Steely <br /> Submersible Pump filer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizarom Dedcated well wizard"' Dedicated <br /> Other Other <br /> LOCK all <br /> WELL INTEGRITY � n <br /> l�A�uTTtfi t�,yL. .v •�- G R�.�e�uf'• t^�^:�/,90 .�"Tw- 22- Z.Y' 1113 <br /> REMARKS <br /> pH EC Tamp Meter Calibration Date Time Meier Serial No <br /> E C 1000 _ pH 7 ! •-- PH 10 PN 4 r <br /> Temperature °F <br /> Signature _� - Reviewed By Page <br /> -�? of �=-- <br />