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WATER SAMPLE FIELD DATA SHEET Rev. 1/92 <br /> U0 PROJECT NO: `160. Q <br /> • �, SAMPLE ID: <br /> EMCON PURGED BY: amity lr- <br /> .s 4DC La i E f CLIENT NAME: <br /> SAMPLED BY: LOCATION: <br /> TYPE: Ground Water' Surface Water Leachate Other <br /> CASING DIAMETER (inches): 2 3 4 4.5 6 Other <br /> CASING ELEVATION (feeVMSL) : VOLUME IN CASING (gal.) : <br /> DEPTH OF WELL (feet) : CALCULATED PURGE (gal.) : <br /> DEPTH TO WATER (feet) : ACTUAL PURGE VOL (gal.) <br /> DATE PURGED: _ 12i5 E=nd Purge <br /> DATE SAMPLED: Sampting Time y <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> f2400 Hr)�-- { � (units) (Fnhosl @ 25°C) ('� (vise co0ey7 (vlsuauNTU) <br /> OTHER ODOR: N2N"�- <br /> (COBALT 0-100) (N -200 <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (i.e. FB-1, X-OUP-1) : <br /> EQUIPMFNT <br /> 2'Bladder Pumpailer(Teliont9} 2'Bladder Pump Bailer(Te } <br /> Centrifugal PumpZdBailer(PvC) Bomb Sampler Bailer(Staled "Steel) <br /> Submersible PumpBailer(Stainless Steel) Dipper Submeraible Pump <br /> well wizard `J dedicated Well wizardw Dedicamd <br /> Other: Other: �t r <br /> WELL INTEGRITY : LOCK# : <br /> RE ARKS : 4LELO, C01 1 -5 <br /> n1 fC4 1 -rv� <br /> pH, E.C..Temp. Meter Calibration: Date: Time: Meter Serfat No.: <br /> i E.C. 1000 ) pH 7 � pH 10 <br /> rte_. pH d <br /> Temoeraarre ° F: <br /> Signature: Reviewed BY: Page of _� <br />