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�� WATER SAMPLE FIELD DATA SHEET Rev 1/92 <br /> PROJECT NO &-71' l SAMPLE ID P� y <br /> EMCON PURGED BY CLIENTNAME 33 <br /> ASSOCIATES <br /> SAMPLED BY LOCATION <br /> TYPE Ground Water --e Surface Water Leachate Other <br /> CASING DIAMETER(Inches) 2 3 4 :!� 4 5 6 Other <br /> CASING ELEVATION (feet/MSL) VOLUME IN CASING (gal ) _ (J.4- <br /> DEPTH <br /> J`4DEPTH OF WELL (feet) Z� �x CALCULATED PURGE (gal ) 3 �. <br /> DEPTH TO WATER (feet) Of I ACTUAL PURGE VOL. (gal ) <br /> DATE PURGED lei End Purge { Z.-) 3 <br /> DATE SAMPLED U Sampling Time 32 <br /> TIME VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> (24hr) (units) (iunh cm 250 C) f'F) ( aVcobatt) (visuaVNTU) <br /> ` f Z 7 f- ODOR �I 1 <br /> OTHER_ -- <br /> (COBALT o-too) (NTU 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (I a FB-1,X-DUP-1) <br /> PURGING EQUIPMENTSAMPLING EQUIRME <br /> 2'Bladder Pump Bailer(Teflorm) 2'Bladder Pump Bailer(Teflon®) <br /> Centrttugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steal) Dipper Submersible Pump <br /> Well WizardT" Dedicated Well Wtzardru Dedicated <br /> Other Other <br /> LOCK 32 t' L7 <br /> WELL INTEGRITY ll +9^ Is <br /> A(3 w <br /> jwth�&l Al1R 21} U Z I.1 Z <br /> pH, E C,Temp Meter Calibration Date Time Meter Serial No <br /> EC 10001 pH y ! pH 10^tel PH 4 ! <br /> �.- Temperature °�F W <br /> Signature Reviewed By' Page of <br />