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� WATER SAMPLE FIELD DATA SHEET Rev 1192 <br /> � PROJECT NO t%��-Z�f `J � SAMPLI= ID <br /> EMCON PURGED BY �� CLIENT NAME rto It: ?OkSOO (3 v <br /> SAMPLED BY LOCATION � L�L <br /> TYPE Ground Water LSurface Water LeachWe Other <br /> CASING DIAMETER(Inches) 2 3 4 4 5 6 Other <br /> CASING ELEVATION(feet/MSL) <br /> VOLUME IN CASING (gal.) Z <br /> DEPTH OF WELL (feet) 3 CALCULATED PURGE (gal ) <br /> DEPTH TO WATER (feet) U I ACTUAL PURGE VOL (gal.) .1U ` Q <br /> l <br /> DATE PURGED L1- Z l Z End Purge <br /> DATE SAMPLED Sampling Time Z <br /> TIME VOLUME PH E C. TEMPERATURE COLOR TURBIDITY <br /> q. '' `grnhoVdrO G �Z,.c) '?�F)S {� ^s`win t�,g[ r- <br /> t 2 S vim- 2 .�•? (� !S � ' <br /> �7C� eta Irl I ODOR _ V! <br /> OTHER <br /> (COBALTO-100) (NTU o-zoo) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (1 6 FBA,X-DUP-1) <br /> Z*Bladder Pump Bader(Teff") r Bladder Pump Bailer(TeAoro) <br /> Cantntugal Pump? <br /> r+ Baler(PVC) Bomb Sampler Baler(st wilen S") <br /> Submersible Pump Bailer(Stainless Steely Dipper Submemble PUMP <br /> WON wLzardm — Well wu2mam Dedmted <br /> 011ier Other <br /> WELL INTEGTY <br /> ni V r LOCK 3 Z <br /> l�l1 a - l a &AS 2 2. 10 tN <br /> RE AR Q at- 12 <br /> PFI, E C.Temp Meter Callbratlon Date Time Meter Serial Na: <br /> E C 1 000 _I---- PH 7 PH 10 I PH 4 !---- <br /> Temperature °F X�XK :5 <br /> Signature Reviewed By Page <br /> l <br />