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WATER SAMPLE FIELD DATA SHEET Rev. 5/96 <br /> PROJECT NO . SAMPLE ID : <br /> PURGED BY: CLIENT NAME : <br /> OWT SAMPLED BY : LOCATION <br /> TYPE: Groundwater Surface Water Leachate Other <br /> CASING DIAMETER (inches): 2 3 4 4.5 6 Other <br /> CASING ELEVATION (feeUMSL) : VOLUME IN CASING (gal.) : <br /> DEPTH OF WELL (feet) : CALCULATED PURGE (gal.) : <br /> DEPTH OF WATER (feet) : ACTUAL PURGE VOL. (gal.) : <br /> IFDATE PURGED : END PURGE : <br /> DATE SAMPLED : SAMPLING TIME <br /> TIME VOLUME pH E.C. TEMPERATURE TURBIDITY TIME <br /> (2400 HR) {gal.) (units) (Pmhos/cm@25'c) ('F) (visual/NTU) (2400 HR) <br /> OTHER: ODOR: <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e. F8-1,XDUP-1) {COBALT 0-1 pD} (NTU 0-200) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard T" Dedicated Well Wizar&T' Dedicated <br /> Other: Other: <br /> i <br /> .WELL INTEGRITY: LOCK. <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 /> Temperature 'F <br /> SIGNATURE: REVIEWED BY: PAGE OF <br /> FIGURE <br /> EMCON WATER SAMPLE FIELD DATA SHEET A-2 <br />