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SAMPLE FIELD Rev. 1192 <br /> • , --� <br /> U0 PROJECT NO. act-�t L I -/A�y�-v wSAMPLE ID. ®®® <br /> EMCON PURGED BY: �?,V9wvv CLIENT NAME: I-fff1,4Ak <br /> e5SOC iATES �® - <br /> SAMPLED BY: LOCATION: ` <br /> TYPE: Ground Water Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 3 4 4.5!P— 6 Other <br /> ' ELEVATION feet/MSL : VOLUME INCASING l U'* <br /> CASING EL ( ) II^^ (9a1•) <br /> DEPTH OF WELL (feet) : Sv ' CALCULATED PURGE (gal.) : (SS' 4' <br /> ' DEPTH TO WATER (feet) : 3`x•2 ` ACTUAL PURGE VOL. (gal.) : (A-® <br /> DATE PURGED: 3 Z End Purge <br /> DATE SAMPLED: Sampling Time ( <br /> ' TIME VOLUME PH E.C. TEMPERATURE COLOR TURBIDITY <br /> ( 00 Hr) (units (µmhos/cm0 25•C) (°F) (visual/cobalt) (visuaVNTU) <br /> !.J s <br /> C <br /> OTHER ODOR: <br /> (COBALT 0.100) (NTU 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (i.e.FBA,X-DUP-1):.,-- <br /> ' PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 21 Bladder Pump Bailer(Teflon®) 2-Bladder Pump Bailer(Teflow <br /> ' Centrifugal Pump Bailer(PVC) Barb Sampler Barr(Stainless Steel) <br /> Submersible Pump Bailer(Stainless steel) Dipper Submersible Pump <br /> Well Wizardrm Dedicatpd Well WlzardTm Dedicated <br /> Other: NW1f� Other: <br /> WELL INTEGRITY: - LOCK#t: <br /> ' REMARKS: <br /> ' pH,E.C.,Temp.Meter Calibration: Date: Time: Meter Serial No.: <br /> E.C. 1000 PH 7 / pH 10 / PH 4 / <br /> CTemperature °F: <br /> Signature. Reviewed By: Page of __L_— <br />