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�1 WATER SAMPLE FIELD DATA SHEET Rev 1192 <br /> PROJECT NO &-71r 3 SAMPLE ID Z <br /> • EMCON PURGED BY t I I�nG CLIENT NAME �`�� <br /> •SSOCrAi ES <br /> SAMPLED BY LOCATION <br /> TYPE Ground Water --(` Surface Water Leachate Other <br /> CASING DIAMETER (Inches) 2 3� 4 4 5 6 Other <br /> CASING ELEVATION (feeVMSL) VOLUME IN CASING (gal ) ` <br /> DEPTH OF WELL (feet) Z CALCULATED PURGE (gal ) C,1 2 <br /> DEPTH TO WATER (feet) 1 9 ACTUAL PURGE VOL (gal ) 2` <br /> DATE PURGED —7 End Purge 3 <br /> DATE SAMPLED Sampling Time <br /> TIME EC TEMPERATURE COLOR TURBIDITY <br /> (2400„_, VOLUME (units)) (Pmf c%L/�! _3•C) � �F}n {risuaUcabalt} (vl' NTU) <br /> OTHER ih Gt{ 7#-(/I f 2Z ODORS <br /> (COBALT 0100) (NTU 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (i a FS-1, X-DUP-1) . <br /> PURGING EOUIPE SAMPLING F.QUIEME <br /> 2-Bladder Pump Bailer(Teflon®) r Bladder Pump Bailer(Teflon®) <br /> Centritugai Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well WizardM Dedicated well wlzard N Dedicated <br /> Other Other <br /> WELL INTE �ITY- &0j CK0 32f <br /> REMARKS w,�,(. a. -Z.D a OLns <br /> ivi <br /> I <br /> PH, E 0,Temp Meter Calibration Date Time Meter Serial No <br /> E C 1000 1 pH 7 PH 10 pH 4 1 <br /> Temperature °F 09 <br /> Signature Reviewed By Page / of <br />