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WATER SAMPLE FIELD DATA SHEET Rev 1192 <br /> PROJECT NO: -11-030,9 t <br /> EMCONSAMPLE ID. Vv11/J 3 1. J <br /> ASSOCIATES PURGED BY a VV _ CLIENT NAME: <br /> SAMPLED BY- L LOCATION- <br /> TYPE Ground Water 2- Surface Water Leachate Other <br /> CASING DIAMETER(inches) 2 3 4-2— 4 5 fi Other <br /> CASING ELEVATION (feeVMSL) • VOLUME IN CASING (gal.). •� <br /> DEPTH OF WELL (fes) • �4-� CALCULATED PURGE (gal.) 2� <br /> DEPTH TO WATER (feet) . ACTUAL PURGE VOL (gal.) <br /> DATE PURGED 3 t`� End Purge l sty <br /> DATE SAMPLED. Sampling Time <br /> TIME VOLUME pH E C. TEMPERATURE COLOR TURBIDITY <br /> IZ <br /> Hr) dga� (urnts) (jAftow=@/2�5°C) 'F} (w <br /> , 00 suaVcobaft +nsu {NTU <br /> ZU44 <br /> OTHER � I "531 <br /> ODOR n <br /> (Ct7 T 0-100) (NTU 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (l a FB-1, X-DUP-1) <br /> 2'Bladder Pump - Bailer(Tenors) 2'Bladder Pump Bailer(Tell") <br /> Centrdugal Pump ri Bader(PVC) Bomb Sampler Bader(Starrdess Sorel) <br /> Submersible Pu Bailer(Stainless Steel) Dipper Submersible Pump <br /> well wizardTM Dedicated well Wizardn Dedicated <br /> Other <br /> Other <br /> WELL INTEGRITY b v"FT d C LOCK <br /> REMARKS <br /> pH E C,Temp Meter CalEbratlon Date Time M"w Serial No <br /> E C 1000 /___PH 7 I PH 10�l� pH 4 <br /> Temperature °F <br /> Signature. 160 <br /> --- <br />