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WATER SAMPLE FIELD DATA SHEET Rev 1r92 <br /> PROJECT NO ��(" �.`�i SAMPLE 0: �'3 <br /> G 041"Sf LLQ?EMCON PURGED BY �� a CLIENT NAME <br /> •ssocl.rEs <br /> SAMPLED BY LOCATION 'J 1 r-V-W') <br /> TYPE Ground Water : Surface Water Leachate Other <br /> CASING DIAMETER(inches) 2 3 4--P 4 5 6 Other — <br /> CASING ELEVATION(feetrMSL) VOLUME INCASING (gala C -Q <br /> DEPTH OF WELL (feet) �4. CALCULATED PURGE (gat.) * 4' - <br /> DEPTH TO WATER (feet) 4�.� ACTUAL PURGE VOL (gal.) ' <br /> DATE PURGED Z End Purge 3 <br /> DATE SAMPLED Sampling Time sus <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> 2400 Hr) n 4m-,h0-8,"07j <br /> �urth 250 Cf ('� w0- 8U0*b0) vtauavMu) <br /> I Z Z C ��' -7.4q) 3 Z�1 j I b.-7 L L.4 Lf� <br /> ti�; Zq- -7-1 S" 3 4 05 "73-9 qrxq �— <br /> �S'7�i r -7,14- 3 Soo q 37 <br /> LL.0 -r. <br /> ts3-7 45.0 �T 3 l "7¢.'S <br /> OTHER. -�"" �p�.vY oDOR - <br /> (COBALT 0-100) (N?U 0-200) <br /> FIELD CC SAMPLES COLLECTED AT THIS WELL (i a FS-1,X-DUP-1) - <br /> PURGING EaWP__MENT SAMPLING FCU1gMENT <br /> 2'8fadder Pump Bailer(Tenors) r Bladder Pump Bailer(Tenon®) <br /> Centrdugal Pump Bauer(PVC) Bomb Sampler Steel) <br /> Submersible Pump Bailer(Stemless Steel) Dipper Subbiersible Pwnp <br /> Well Wizardm Dedicated Well Wlzardm Dedicated <br /> Omer oilier <br /> WELL INTEL 9'19 � iV M j LO K9-11 <br /> 0-r <br /> REMARKS <br /> �l I .ln S � 0-2 . <br /> pH,E.0,Temp Meter Calibration Date Time: Meter Serial M-• <br /> 1w E C 1000 pH 7 I_ pH 10_l pH 4 — j.--� <br /> Ternperawm <br /> Signature: ReVWANed Or. Page — — of <br />