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�1 Rev 1'92 <br /> WATER SAMPLE FIELD DATA SHEET <br /> PROJECT NOp _ I <br /> SAMPLE ID. "3 <br /> EMC ONCQN PURGED BY <br /> SS CLIENT NAME' LU <br /> SAMPLED BY , , LOCATION -<-MG k T7/YZ <br /> TYPE Ground Water �L Surface Water Leachate Other <br /> CASING DIAMETER(Inches) 2 3 4� 4 5 6 Other <br /> CASING ELEVATION(feeVMSL) VOLUME IN CASING (gal.) <br /> DEPTH OF WELL (feet) _ " 4 CALCULATED PURGE (gal ) 33 .3 <br /> DEPTH TO WATER (feet) 37'q ZACTUAL PURGE VOL (gai.) -33, s <br /> DATE PURGED 16110101l 3 End Purge G <br /> DATE SAMPLED L Sampling Time M 1 2 <br /> TIME VOLUME pH E.0 TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) Iga,` (Wmfti pn g'C) (visuaUopbatt} (vrsuaUNT1J) <br /> u L�LJ 1 2. I '54 L i Ji I U• , •- <br /> 1 03 _ �6 _ gf4_ 161 <br /> "7� -I11 re <br /> OTHER ODOR f <br /> (COBALT 4-100) (N 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (I a FB-1,X-DUP-1) <br /> PURGING EQUIPMENT SAMPLING LQUIPMENI <br /> 2'Bladder Pump Bader(Teflon®) 2'Bladder Pump _� Bader(Teflonig) <br /> Centrifugal Pump Bader(PVC) Bomb Sampler Bader(Stainless steel) <br /> 412� Submersible Pump Bader(Stainless Steep Dipper Submersible Pump <br /> Well Wizard^ Dedicated Well Wizardrm Dedicated <br /> Other Other <br /> WELL INTEGRITY LOCK# <br /> REMARKS <br /> pH, E C.Temp Meter Callbratlon Date Time Mater Serial No <br /> E C 1000 r-- pH 7_r pH 10 <br /> , pH 4 � <br /> Temperature °F <br /> Signature �-- Reviewed By: Page _,�,,,,_ of <br />