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Rev 1192 <br /> WATER SAMPLE FIELD DATA SHEET <br /> • U -� <br /> PROJECT NO ��3� � t SAMPLE ED �t�`'' <br /> �1G <br /> EMCON PURGED BY CLIENT NAME �`•' "" ZI �� <br /> 4 <br /> •ssoeI&rEs <br /> SAMPLED BY � LOCATION S+')C)t <br /> TYPE Ground Water '�:L Surface Water L�ichate Other <br /> DIAMETER inches 2 3 4"L a 5 6 Other <br /> CASING D (inches) <br /> CASING ELEVATION (feetlMSL) <br /> VOLUME IN CASING (gal ) e <br /> DEPTH OF WELL (feet) S3-� CALCULATED PURGE (gal ) <br /> DEPTH TO WATER (feet} 4'2 q-� ACTUAL PURGE VOL (gal ) i 3' <br /> DATE PURGED L End Purge 11 <br /> DATE SAMPLED Sampling Time <br /> TIME PH i=C <br /> VOLUME TEMPERATURE COLOR TURBIDITY <br /> VOflL� (urn (µmhoslun�25•G) (IF) (Hsu ) vis'.^j U) <br /> �� ��{��2,,a,,��oo��rir) 32"I ��t R <br /> tib^ — � <br /> 4Ar614 t-- <br /> ODOR <br />� OTHER (COBALT o-loo) (NTt!0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (i e FB-1,X-DUP-1) <br /> Bader(Teflon®) 2•Bladder Pump Bailer(Teflon®) <br /> 7 Bladder Pump gaW(Stainless Steel) <br /> Centntugal Pump Bader(PVC) Bomb Sampler <br /> Submersible Pump — <br /> Baler(stainless Steel) Dipper Submersible PUMP <br /> Well WiZardr" <br /> Dedicated Well Wizardrm Dedicated <br /> Other <br /> Other <br />• <br /> LOC 0 3 <br /> WELL INTEG 0. 1 44 <br /> [9v1�d1 <br /> MARKS dd <br /> ' a, KSr. <br /> qj24, R?s Time t Meter r No <br /> PH,E C.T Lrrfq Cali a Date P <br /> 0- EC 1000 VV Lam—^ pH 7 !? PH 10�.�! H 4 ! <br /> 0 <br /> Temperature °F � <br /> Signature Reviewed By Page at <br />� <br />