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�1 WATER SAMPLE FIELD DATA SHEET Rev 1192 <br /> ��i-���• 1 <br /> PROJECT NO. SAMPLE ID.. v J <br /> EMCON <br /> .ssoeIAres PURGED BY: CLIENT NAME. <br /> SAMPLED BYy LOCATION- <br /> TYPE Ground Water --Y-- Surface Water Leachate Other <br /> CASING DIAMETER(Inches) 2 3 4--Z 4 5 6 Other <br /> CASING ELEVATION(feet/MSL) �3 VOLUME IN CASING (gal.) : <br /> DEPTH OF WELL (feet) _ CALCULATED PURGE (gaQ • ZS' <br /> DEPTH TO WATER (feet) - ACTUAL PURGE VOL (gal.) 14-0 <br /> DATE PURGED `3 (`7 C'A3 313 <br /> End Purge <br /> DATE SAMPLED. J Sampling Time t ?z <br /> TIME VOLUME pH EC TEMPERATURE COLOR TURBIDITY <br /> 2 400 lir) v!( U J(units)-u (W 7,710 <br /> 1 0 25°C) �(OF)Z 9 Vt1) (i�} <br /> OTHER [ e42 ODOR i [ � <br /> (CORA6T 0-500) (NTU 0-200) <br /> FIELD CC SAMPLES COLLECTED AT THIS WELL (i e FB-1, X-DUP-1) <br /> EUEQING EQUIPMENT <br /> 2'Bladder Pump Bailer(Teflon®) 2'Bladder Pump Bader(Telt") <br /> Centrifugal Pump,_,fl Bader(PVC) Bomb Sampler Bader(Stautless steel) <br /> Submersible Pump Bader(Stainless Steel) Dipper Submersible Pump <br /> Well WlzardTM Dedicated Well Wlzare- Dedicated <br /> Other Other <br /> WELL INTEGRITY ��t CG� OCK It•3 <br /> RE �iRKS RMCAWAkil e. Uhl =- 0i <br /> a JA S Vqtj Cj3 (3 . / 1&Jj1-fTr0— <br /> UZI3 <br /> PH E C.T"t"I l,( c CI(1(J D� `3 ( o G 3 r f <br /> E C 1 t�0 / pH 7 �� PH 10 ! r pH 4`� <br /> Temperature r°FF <br /> Signature: <br />