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0�1 WATER SAMPLE FIELD DATA SHEET Rev 1/92 <br /> PROJECT NO 1--639--o) SAMPLE !O Inw, Z 53 <br /> EMCON PURGED BY s [' LA-ca22E„r,,. <br /> •SSoclaTEs CLIENT NAME 2( (� <br /> — <br /> SAMPLED BY LOCATION TD[I TG�I <br /> TYPE Ground Water r1— Surface Water Leachate Other <br /> CASING DIAMETER (Inches) 2 3 4 ZC 4 5 6 Other <br /> CASING ELEVATION (feet/MSL) VOLUME. IN CASING (gaf.) _ G/ Y <br /> DEPTH OF WELL (feet) _ 1 CALCULATED PURGE (gat ) Z yf 3 <br /> DEPTH TO WATER (feet) �y„ ACTUAL PURGE VOL (gal ) ` D <br /> DATE PURGED ` y End Purge l 4 <br /> DATE SAMPLED Sampling Time U <br /> TIME VOLUME pH EC TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) ( al I (units) (wnhoslcm@ suaVoobafi 25°C) (°E_) (�i <br /> ) (vfsual,NTu) <br /> OTHER–_--- .` O DOA <br /> (coBA alto) (NTu <br /> FIELD QC SAMPLE=S COLLECTED AT THIS WELL (i a FS-1, X-DUP-1) <br /> SURGING EQUIPMENT <br /> 2'Bladder Pump Bader(Teflon®) 2'Bladder Pump Bailer(Teflon®) <br /> Centritugal Pump Bader(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> 4Z Submersible Pump Bailer(Stainless Steel) Dapper Submersible Pump <br /> well wlzardTM Dedicated well wizardry Dedicated <br /> Other Other <br /> WELL INTEGRITY - 5l LOCK# <br /> R MARKS h e&� /6 Ulc d I `t d <br /> r <br /> pH, E C,Temp Meter Calfbratlon Date y 3 Time L Meter Serial No <br /> E C 1000 1 0 11 4 /jU i pH 7 / PH 10_ / phi 4 �q'3 <br /> Temperature °F <br /> Signature �G� =- <br /> -� Reviewed BY Page of —�-�– <br />