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Rev 1192 <br /> WATER SAMPLE FIELD DATA SHEET <br /> PROJECT NO <br /> 1 Tqt L SAMPLE ID <br /> FQ <br /> CLIENT NAME <br /> A fi w 0 413 1 <br /> EMCON PURGED BY <br /> ASSOCIATES y LOCATION ��11�TAT""' r <br /> SAMPLED BY 7 Vis. <br /> TYPE Ground Water Surface Water Leachate Other <br /> CASING DIAMETER (inches) 2 3 L 4 4 5 6 Other <br /> s <br /> CASING ELEVATION (teeVVOLUME IN CASING (gal )MSL) I� <br /> DEPTH OF WELL (feet) X4 CALCULATED PURGE (gal ) <br /> DEPTH TO WATER (feet) <br /> { �,6 ACTUAL PURGE VOL (gal ) Z <br /> 1 = �• End Purge Oaf <br /> of <br /> DATE PURGED f1505, <br /> DATE SAMPLED Sampling Time <br /> I„l E C TEMPERATURE COLOR TURBIDITY <br /> TIME VOLUME P h0slcm@ 25•C) (°F) (vtsuaucobalt) (vnsual/NTU) <br /> (2400 Hr) (V (units) " 14 8 i � 6a� <br /> iZ46 2�� � !! 61. <br /> 2- N G- <br /> 810<o< �n 9 q <br /> 1301 12..� l•�� Spy --- <br /> N <br /> ODOR s l-I �z,r'-f N IC NQ <br /> DISSOLVED OXYGEN (ppm) (COBALT� (NTU 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (1 a FB-1. X-DUP-1) N A <br /> (7eea,®) r Bladder Puna Bailer(TeflorZ) <br /> Z'Bladder Pump Bailer(stainless steel) <br /> Centrifugal Pump I Bader(PVC) ' Barnb Sampler <br /> Bader(Stainless Steel) Dipper SubmerstDle Pimp <br /> Submersible Pump Ded�ted <br /> Dedicated well wlrard*m <br /> Orr <br /> Other <br /> LOCK z- <br /> WELL INTEGRITY GNU _ <br /> REMARKS <br /> Time velar Senal No <br /> pH E C Temp hAeter Cal ration Date — pH 4 <br /> E C 1000 -�--�LpH 7 ! pH 10--1�� <br /> C_ Temperawre °F <br /> Signature Reviewed By Page <br /> of -- <br />