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�1 WATER SAMPLE FIELD DATA SHEET Rev 1192 <br /> PROJECT NO <br /> C't+- 'C" 1 SAMPLE ID C-3 <br /> EMCON PURGED BY CLIENT NAME S Z� <br /> ASSOCIATES � f <br /> SAMPLED BY LOCATION V <br /> TYPE Ground Water - SurfaceWater <br /> r �-- 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) ` CALCULATED PURGE <br /> DEPTH TO WATER (feet) P` - ACTUAL PURGE (gal ) <br /> DATE PURGED End Purge <br /> DATE SAMPLED -7Za qI 2/ Sampling Time <br /> TIME VOLUME pH EC TEMPERATURE OR TURBIDITY <br /> (2400 Hr) (gal} (units) {Pmh06/cmt 25°C} (°f7 Sua/cobalt) (wsuaNNTU) <br /> OTHER DOR <br /> (cosnLTo-too) (NTua2oo) <br /> FIELD OC SAMPLES COLLECTED AT IS WELL (I a FB-1,X-DUP-1) <br /> SAMPLING EQUIPMENT <br /> ZSubmele <br /> Bailer(Teflone) T Bladder Pump Ballet(Talions) <br /> 6a+ler(PVC) Bomb Sampler Bader(Stainless Steel) <br /> Bader(Stainless Steel) Dipper Submersible Pump <br /> Dedicated well wizard Dedicated <br /> Other <br /> WELL INTECwd UUTY elLOCK 0 3zi D <br /> REMARKS t <br /> pH, E C,Temp Meter Calibration Date Time Meter Serial No <br /> ! <br /> E C 1000 1__ PH r ! PH10�/ PH4 <br /> Temperature ° F r� <br /> Signature Y /1 Reviewed By Page � � of <br />