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WATER SAMPLE FIELD DATA SHEET Rev 1192 <br /> We-9 PROJECT NO SAMPLE ID <br /> EMCON PURGED BY CLIENT NAMEG� Z{ 33 <br /> A SSOCir TES <br /> SAMPLED BY G LOCATION <br /> TYPE Ground Water �:L Surface Waterpp Leachate Other <br /> CASING DIAMETER (Inches) 2 3 Z 4 4 5 6 Other <br /> CASING ELEVATION (feeVMSL) VOLUME INCASING (gal ) <br /> DEPTH OF WELL (feet) l CALCULATED PURGE <br /> DEPTH TO WATER (feet) c_ ACTUAL PURG OL (gal ) <br /> DATE PURGED �� End Purge <br /> DATE SAMPLED 7 7 e Po 1 21 Sampling Time <br /> TIME VOLUME pH EC TEMPERATURE CO TURBIDITY <br /> (2400 Hr) (gal) (units) (}smhoS/crnQD 25•C) (°F) ( cobalt) (visuallNTU) <br /> OTHER ODOR <br /> (COBALT 0-100) (NTU 0-200) <br /> FIELD OC SAMPLES COLLECTED THIS WELL (I a FB-1, X-DUP-1) <br /> PURQI -1-01- SAMPLING EQUIPMENT <br /> 2'Bladder Pump Bailer(Teflonsl 21 Bladder Pump Bailer(Teflone) <br /> Centrifugal P p Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Subme le Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> W Wizardm Dedicated Well Wizard^' Dedicated <br /> p Other <br /> WELL INTEL ITY LOCK# <br /> REMARKS <br /> PH E C ,Temp Meter Calibration Date Time - motor Serial No <br /> . E C 1000 L_ pH 7 / PH 10- / pH 4 / <br /> Temperature °F _ <br /> Signature Reviewed By Page of <br />