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�1 WATER SAMPLE FIELD DATA SHEET Rev 1/92 <br /> PROJECT NOSAMPLE SAMPLE ID _. ,�1 �' �_ �L <br /> N <br /> EMCQPURGED BY aYr,r r, CLIENT NAME fCCJ �U� <br /> ASSOCrAris ON <br /> SAMPLED BY LOCATION r G <br /> ,/ i <br /> TYPE <br /> Ground Water y Surface Water Leachate Other <br /> CASING DIAMETER (Inches) 2 r 3 42�' 4 5 6 Other <br /> _u <br /> CASING ELEVATION (feet/MSL) VOLUME IN CASING (gal ) <br /> DEPTH OF WELL (feet) -- G :7 CALCULATED PURGE (gal ) <br /> DEPTH TO WATER (feet) �y — ACTUAL PURGE VOL (gal ) <br /> DATE PURGED 47 7 h 3 End Purge l y <br /> DATE SAMPLED Sampling Time <br /> TIME VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) <br /> 3 (gal)v (units) (}imhoislcm@ 25'C) (°F) (visuaveabatt) (visual/NTU) <br /> ---z � -7? od color --rm <br /> OTHER_ . _ 0008 n O"t <br /> (CORA 200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (i e FB-1, X DUP-1) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2' Bladder Pump Baiter(Teflon®) 2'Bladder Pump Barter(Teflon®) <br /> 2:lCentritugat Pump Bader(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bader(Stainless Steel) Dipper Submersible Pump <br /> welt wizard- Dedicated Well WizardTM <br /> Dedicated <br /> Other Other <br /> WELL INTEGRITY - t/ .�TiG�/ / - Tt✓�1 I 1 LOCK # <br /> REMARKS t.Cc`"tf Z?oA 64-5" -- <br /> pH E C Temp meter Cattbratron Date lime Meter Serial No <br /> E C 1000 : pH 7 <br /> r pH 70 pH 4 <br /> Temoerature ° F <br /> SignatureReviewed By �� Page of Z <br />