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WATER SAMPLE FIELD DATA SHEET Rev.5/96 <br /> PROJECT NO: SAMPLE ID <br /> PURGED BY: CLIENT NAME <br /> 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 /> F <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 /> r TIME VOLUME pH E.C. TEMPERATURE TURBIDITY TIME <br /> (2400 HR) (gal.) (units) (ltmhos/cm@25°c) (°F) (visua](NTU) (2400 HR) <br /> F <br /> OTHER: ODOR: <br /> a <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e.FB-1,XDUP-1) (COBALTO-100) (NTU o-zoo) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump Bailer(Teflon) <br /> F F Centrifugal Pump Bailer(PVC) Bomb Sampler Sailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> k Well Wizard"" Dedicated Well Wizard`" 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.1000 pH 7 / pH 10 I pH 4 I <br /> Temperature°F <br /> F (: <br /> SIGNATURE: REVIEWED BY: PAGE OF <br /> FIGURE <br /> f <br /> INTERNATIONAL <br /> TECHNOLOGY "WATER SAMPLE FIELD DATA SHEET A-2 <br /> CORPORATION <br /> Ia <br /> l <br />