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WATER SAMPLE FIELD DATA SHEET Rev. 92 <br /> PROJECT NO: ^ SAMPLE ID: v <br /> EMCON PURGED BY: l aU"n� CLIENT NAME. <br /> �SSpC:aTES y S�G[G+v� <br /> SAMPLED BY: LOCATION: <br />•, TYPE: Ground water Suriace Water Le chafe Other <br /> CASING DIAMETER (inches): 2 3 414.5 6 Other <br /> i <br /> I <br /> CASING ELEVATION (feeVMSL) : VOLUME IN CASING (gal.) : f <br />• <br /> DEPTH OF WELL (feet) : CALCULATED PURGE (gal.) : S�'3 <br /> DEPTH TO WATER (feet) : 4-� ACTUAL PURGE VOL. (gal.) : <br /> DATE PURGED: 3 q2 End Purge <br /> DATE SAMPLED: '� Sampling Time Lf 0 <br /> I <br /> TIMEVOLUME pH E.C. TEMPERATURE COLOR TURBIDITY ! <br /> 2400 Hr} r '} (uunnits) (µmm can 25°C) j (°F} ualloo"t) (visuVNTI:' <br /> g710 7s, Z7i ��• f i <br />• 1 SrS 33 2-� L 1 i <br /> Fu <br /> � <br /> -1.f L �' 'lx�3 S`3• � � <br /> i <br /> OTHER ODOR: <br /> �CG&4LT 0-1001 (NFU 0-20C <br /> FIELD GC SAMPLES COLLECTED AT T'i••iIS WELL (i.e. FB-1, X-DUP-1) . <br /> P R ING- FoLlIPMENT SAMPLING EQU15MENl <br /> 2'Bladder PumpBailer(Teflon®) — 2'Bladder Pump Bailer(Teflona) <br /> Centrifugal PumV f Bailer(PVC) Bomb Sampler Sailer(Stainless Stash <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br />• Well WizardT'I Dedicated Well Wizard=" DedicateC <br /> Other: Other <br /> WELL INTEGRITY: qi t u" - LOCK# : <br /> REMARKS : <br /> pH, E.C..Temp. Meter Calibration: Date: Time: Meter Seth)No.: <br /> E.C. 1000 _L_ PH T 1 PH 10—/ PH 4 l <br /> Temperature °F: <br /> Signature: Reviewed BY: Paqe of <br />