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WATER SAMPLE FIELD DATA SHEET Rev. 1/92 <br /> PROJECT NO: SAMPLE ID: <br /> PURGED BY CLIENT NAME: <br /> SAMPLED BY* LOCATION: <br /> TYPE Ground Water . Surtace Water.„ Leachate Other_ <br /> CASING DIAMETER(inches): 2 3 4 4.5 6 Other <br /> CASING ELEVATION(feeVMSL) VOLUME IN CASING (gai.) <br /> DEPTH OF WELL (feel) : CALCULATED PURGE (gat) <br /> DEPTH TO WATER (feet) : ACTUAL PURGE VOL (gai.) : <br /> DATE PURGED: End Purge <br /> DATE SAMPLED. Sampling Time <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) (may fund (l+M=V*n@ 251 Cy ('Fl (v,euaumbaul (v=wNTU) <br /> OTHER ODOR, <br /> (COBALT 0.100) RNTUFMOST— <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (I a. FB-1.X-DUP-1)y, <br /> EURGINO EQUIPMENT SAMPLING EQjj1PMFNT <br /> Bladder Pump Bailer(Teflo"I — 2'Bladder Pump .� Bailer(Teflom) <br /> Cenwits t Pump Bail(PVC) Bdrnb Sampler Bailer(Stainless a") <br /> Subnwrsibls Pump Ballet(StaWass SUM) Dipper � Submwwbb Pump <br /> Other <br /> Well Wlzardm � Dedkawed Wen wumfona <br /> WELL INTEC3RiTY• LOCK a1 <br /> REMARKS: <br /> pH, E C.Temp,hdeter CaMraftL Dawe: Tune• mew Serial No <br /> EC 1000 0 � pH4— <br /> --_ H 7 ►. pH 10 1 <br /> Temperawre ° P <br /> SIGNATURE Reviewed by: Page d <br /> �1 EMCON FMRE <br /> Associates WATER SAMPLE FIELD DATA SHEET IA;o2l <br />