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WATER SAMPLE FIELD DATA SHEET Rev. 5196 <br /> /QN- <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 (feet/MSL) : VOLUME IN CASING (gal.) : <br /> DEPTH OF WELL (feet) : CALCULATED PURGE(gal.) : <br /> DEPTH OF WATER (feet) : ACTUAL PURGE VOL. (gal.) <br /> DATE PURGED : END PURGE : <br /> DATE SAMPLED : SAMPLING TIME : <br /> TIME VOLUME pH E.C. TEMPERATURE TURBIDITY TIME <br /> (2400 HR) (gal.) (units) (umhos1cm@25"c) (°i } (visual/NTU) (2400 HR) <br /> OTHER: � ODOR: <br /> (COBALT 0-100) (NTU 0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e. F13-1,XDUP-1) : <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bailer(Teflon) —2"B ladder 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 <br /> T'+ Dedicated Well WizardTM Dedicated <br /> Other: Other: <br /> WELL INTEGRITY: LOCK: <br /> REMARKS: <br /> pH, E.C.,Temp.Meter Calibration:Date: Time: Meter Serial No.: <br /> E.C. 1400 ! pH 7 ! pH 1~0— 1 pH 4 1 <br /> Temperature°F <br /> SIGNATURE: REVIEWED BY: PAGE OF <br /> FIGURE <br /> EMCON WATER SAMPLE FIELD DATA SHEET A-�2 <br />