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WATER SAMPLE FIELD DATA SH EE i Rev. 1/92 <br /> PROJECT NO: SAMPLE ID. <br /> PURGED BY: CLIENT NAME: <br /> SAMPLED BY: LOCATION: <br /> TYPE=: Gmuna water,. Surface wader Leachate Other <br /> CASING DIAMETER(Inches): 2, 3 4 <br /> �.. 4 5� 6 Other <br /> CASING ELEVATION(feWMSL) . VOLUME IN CASING - <br /> DEPTH OF WELL (Zef) - CALCULATED PURGE (gaL) <br /> DEPTH TO WATER (few) : ACTUAL. PURGE VOL (gad.) <br /> DATE PURGED. <br /> End Purge <br /> DATE SAMPLED. <br /> Samotma Time <br /> riME VOLUME p}.L E=.C. <br /> IzaOo 1 Ir4 TEMPERATURE COLOR TURBIDITY <br /> ( (unrisl (YAWK sAmwe 25•Cl <br /> {`Fl (+�wotraananl aMWiNiU) <br /> OTHER ODOR. <br /> (C08AL~ M' a�00' <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (I a.FB-4 X-DUP•1) <br /> sladowPump S�MPLINc� Fn111P�A�ur <br /> �. 8a116r 1 Tellor�t 2'Maurer Puma 3ailar Tellor�l <br /> _,..�,. Centrlhegat Puma � 8ailar(PVC) <br /> 9o11d samr saftr Isuounsgoal <br /> su m"reco Pump f BMW(sna+rom smai olowr � Subnutwoft Ptr" <br /> WON wbard- oaalaaoo waw wizucrM <br /> flemama <br /> oa+er• <br /> ollw• <br /> WELL. INTEGRITY <br /> REMARKS: <br /> LOCK a <br /> pal,f.C..Temp.M@W C=U= Daft: <br /> Tom' NIe1�r SqW No.: <br /> EC 1000 <br /> Tanoara " F """`�• <br /> SIGNATURE Rsvlewad by; Pegs <br /> �1 EMCON saw <br /> Associates WATM SMWM FMIM DATA SHEET A=21 <br />