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WATER SAMPLE FIELD DATA SHEET Rev 1192 <br /> UZ PROJECT NO I ---7r� '-p I <br /> EMC�N P SAMPLE ID � 'Z(2SURGED 6Y C-t I L CLIENT NAME * *369� <br /> SAMPLED BY LOCATION GLC L <br /> TYPE Ground Water : Surface Water Leachate Other <br /> CASING DIAMETER (inches} , 'C 45 6 Other <br /> CASING ELEVATION (teeVMSL' VOLUME IN CASING (gal ) <br /> DEPTH OF WELL (feet± 2�• CALCULATED PURGE (gal ) 7 <br /> DEPTH TO WATER (feet) ACTUAL PURGE VOL (gal ) 9 0 <br /> DATE PURGED - 5 End Purge (Py Z- <br /> DATE SAMPLED Sampting Time <br /> TIME VOLUME pH E C TEMPERATURE COLOR <br /> �z1a_00 Hr} _ TURBIDITY <br /> 7� Zi9ai7 i Vm s/.�� 25' C1 (°F) lvisualrwbalt) (vlsuauNTlJ) <br /> - tp 0 _ q -� z <br /> 90 -7. o _-71 C? <br /> S? <br /> OTHER `� , ODOR <br /> (COBALT 10p} {N�nJ~ <br /> FIELD OC SAMPLES COLLEC—&E-0 AT THIS WELL (I a FE-1 X DUP-1) <br /> !01,FNT SAMpt_ING EQUIPMENT_ <br /> 2"bladder Pump Bader(Teflonm) 2'Bladder Pump � Bailer(tedons) <br /> Centntugal pump x— Bader(PVC) Bomb Sampler Bailer(Stainless Steell <br /> Submersiote Pump gaiter(Stainless Steell Dipper Submersible pump <br /> — Well Wizard*r Dedcatw well Wizard7M — Dedimma <br /> Other <br /> Other <br /> WELL INTEGRITY <br /> LOCK tt <br /> REMARKS <br /> pH E C Temp Meter Calibration Date Time <br /> (water Serial No <br /> E C 1000 �� pH - Z-f 10 <br /> Temperatur ° F <br /> Signature " Ila13 <br /> y Reviewea ?v ;age Of <br /> �J <br />