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WATER SAMPLE FIELD DATA SHEET Rev 1/92 <br /> �O PROJECT NO SAMPLE ID -7`/') <br /> EMCON PURGED BY SGrf�v.^��� CLIENT NAME A-t Ly <br /> •SSQCLAT[7 ^- <br /> SAMPLEDBY LOCATION N E► Ja+.'�•.•1c� �r SCk <br /> TYPE Ground Water L Surface Water Leachate Other <br /> CASING DIAMETER (Inches) 2 3 4 -.r 4 5 6 Other <br /> CASING ELEVATION (feet/MSL) VOLUME IN CASING (gal) 2- <br /> DEPTH <br /> DEPTH OF WELL (feet) :Zy. �� - CALCULATED PURGE (gal ) <br /> DEPTH TO WATER (feet) 3 ACTUAL PURGE VOL (gat) <br /> DATE PURGED j �U �? End Purge 1 u z f <br /> DATE SAMPLED '6 Sampling Time 1�3 45 <br /> TIME VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) gal (units (Wnhos/cm@ 25'C) {°Fl (visuaucobalt) (visuaUNTU) <br /> 1 � <br /> } <br /> OTHER / ODOR <br /> (ca T atoo) ( Tufo 200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (I a FB-1, X-DUP-1) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2'Bladder Pump Bailer(Teflon®) 2'Bladder Pump —�r Bailer(Teflon®) <br /> Centrifugal Pump Bader(PVC) Bomb Sampler Bawler(Stainless Steell <br /> Submersible Pump Bader(Stainless Steel) Dipper Submersible Pump <br /> Well WizardTM Dedicated Well WizardTu Dedicated <br /> Other Other <br /> WELL INTEGRITY 6kj - .. LOCK <br /> REv1AF�(S t[.un ¢- y L/ Lc <br /> 4-6 ` <br /> i pH, E C,Temp Meter Calibration Date Time Meter Serial No <br /> E C 1000 ► pH 7 pH 18 r pH 4 <br /> Temperature °F <br /> Signature Reviewed By <br /> Pae / of <br /> t <br /> 9 <br />