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WATER SAMPLE FIELD DATA SHEET Rev 1'92 <br /> PROJECT NO �� �� SAMPLE ID - <br /> EMCON PURGED BY rZV96 "�' CLIENT NAME / !' 0:� 2 (3 3 <br /> ASSOCIATES <br /> SAMPLED BY LOCATION �C 1"-.' ? <br /> TYPE Ground Water Surface Water 7Lhate tither <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) `� �?? CALCULATED PURGE (gal ) 34 `� <br /> DEPTH TO WATER (feet) `( J ACTUAL PURGE VOL. (gal ) 3s- <br /> DATE PURGED -7 Za Z End Purge { <br /> DATE SAMPLED IV Sampling Time ZAD <br /> TIME VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> (24 lir) (U its) (Nmh 25°C) °F) { tnsuaV ) (+nsuaUfN,T-,U.)�y <br /> 14-13 "35-D 1441 t.c.77- I <br /> OTHER g v l �T = { ODOR <br /> COBALT (NTU 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (I a FBA,X-DUP-1) <br /> PURGING EOUIPMENTSAMPLING EQUIPMr; <br /> 2'Bladder Pump Bailer(Teflon®) 2-Bladder Pump Sailer(Teflon®) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bauer(Stateless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard^m Dedicated Well wizard"M Dedicated <br /> Other per,, Outer <br /> WELL INTEGRITY 61 <br /> v V �'� s r G LOCK#t - �2! 1� <br /> REMARKS <br /> PH,E C,Temp Meter Calibration Date Time Meter Serial No <br /> E C t000 ! pH 7 PH 10 pH 4 ! <br /> Temperature °F <br /> Signature Reviewed By Page q of <br />