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WATER SAMPLE FIELD DATA SHEET Rev 192 <br /> PROJECT NO SAMPLE ID <br /> PURGED BY CLIENT NAME. <br /> SAMPLED BY LOCATION <br /> TYPE Ground Water 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 (feel) CALCULATED PURGE (gal ) <br /> DEPTH TO WATER (feet) ACTUAL PURGE VOL (gal ) <br /> DATE PURGED End Purge <br /> DATE SAMPLED Sampling Time <br /> TIME VOLUME pH EC TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) (gal? (units) (1+Mhcwcm0 2S°C) (OF) (vtsual/cobalo (visual/NTU) <br /> OTHER ODOR <br /> (COBALT T 0-100) (N�� <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (i a FB-1 X-DUP-1) <br /> PURGING„EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bailer(Tellona) 2"Bladder Pump Bailer(Tenon®) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Sbael) <br /> Submersible Pump Bailer(Stainless Steell Dipper Submersible Pump <br /> Well Wizards+ Dedicated Well Wizards Dedicated <br /> 011ier Quer <br /> WELL INTEGRITY LOCK# <br /> REMARKS <br /> pH,E C,Temp Meter Calibration Date Time Mader Sepal No <br /> EC 1000 / DH 7 1, PH 10 / DH 4 <br /> Temperature D F <br /> SIGNATURE Reviewed by- Page of <br /> E N[G 4 N FlGIIRE <br /> Associates WATER SAMPLE FIELD DATA SHEET [A-2 <br />