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WATER SAMPLE FIELD DATA SHEET Rev 5196 <br /> arePROJECT NO SAMPLE 10 <br /> PURGED BY CLIENT NAME <br /> OWT SAMPLED BY LOCATION <br /> TYPE= Groundwater Surface Water Leachate Other <br /> CASING DIAMETER (inches) 2 3 4 45 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 EC: TEMPERATURE TURBIDITY TIME <br /> (2400 HR) (gaf) (units) (pmhos/cm@25°c) ('F) (visuaVNTU) (2400 HR) <br /> OTHER ODOR <br /> (COBALT 0=100) (NT~ <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(r a FB-1,XDUP-1) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2 Bladder Pump Bader(Teflon) 2"Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bader(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard=" Other Wizard Dedicated Well T" Dedicated <br /> Other <br /> WELL INTEGRITY <br /> REMARKS LOCK <br /> pH E C Temp Meter Calibration Date Time Meter Serial No <br /> E C 100L ! pH 7/ pH 10 1 pH 4 / <br /> Temperature 'F <br /> SIGNATURE REVIEWED BY PAGE OF <br /> FIGURE <br /> E M C O N WATER SAMPLE FIELD DATA SHEET A-2 <br />