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I <br /> WATER SAMPLE FIELD DATA SHEET f •Rev 1/92 <br /> Ur <br /> PROJECT NO � � �` � � SAMPLE 10 yL1 V" <br /> EMCON PURGED BY E2✓��1,IJ1.= CLIENT NAME L- oLo <br /> I •ssotI•*ts <br /> SAMPLED BY J LOCATION V 'At;r,1 e LZ( <br /> TYPE Ground Water --f Surface Water Leachate Other <br /> CASING DIAMETER (Inches) 2 3 4 t 4 5 6 Other <br /> I <br /> CASING ELEVATION(feet/MSL) VOLUME IN CASING (gal ) (Z04- <br /> DEPTH OF WELL ,feet) <br /> CALCULATED PURGE (gal ) 3 i <br /> DEPTH TO WATER (feet) 7 i ACTUAL PURGE VOL (gal ) �y• <br /> I <br /> DATE PURGED n,+.� 3 End Purge <br /> DATE SAMPLED L Sampling Time t-.y _ <br /> TIMEVN E C TEMPERATURE COLOR TURBIDITY <br /> I (24004) �{9uME (�it5) (�aT►@ 25•C} {•F)� �(�5�� t� <br /> a1t1 {1u1;JaUf�TU} <br /> � <br /> 2 .. � <br />�r40, <br /> 7f . I I <br /> OTHER �(,M� j/1. X1,1 _ ODOR <br /> (CORA 100) (NTU 0 200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL (1 a FBA.X-DUP-1) <br /> PURGING EQUIPMENT SAMPLING EQUIPbd�NT <br /> 2-Bladder Pump Bailer(Teflon®) 2'Bladder Pump Baler(Teflono) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Baler(Simniess Steell <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> 'Nell Wizard^' Dedicated Well WizardTm Dedicated <br /> Other Other <br /> WELL INTEGRITY �'� { �" - LOCK to -Z <br /> REMARKS <br /> pH E C Temp meter Calibration Date Time Meter Serial No <br /> E C 1000 / pH 7 pH 10 pH 4 f <br /> Temperature °F <br /> �� <br /> Signature �� Reviewed By Page of <br />