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WATER SAMPLE FIELD DATA SHEET Rev 5196 <br /> PROJECT NO SAMPLE 1D <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) (gal) (units) (Nmhos/crn(§25'c) (°F) (+nsuaVNTU) (2400 HR) <br /> OTHER ODOR <br /> (COBALT 0-100) (NTU 0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i a 179-1,XDUP-1) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bader(Teflon) 2'Bladder Pump Bader(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bader(Stainless Steel) <br /> Submersible Pump Bader(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard"' Dedicated Well Wizard TM Dedicated <br /> Other- Other <br /> WELL INTEGRITY LOCK <br /> REMARKS <br /> pH E C Temp Meter Calibration Date Time Meter Serial No <br /> EC 1000 1 pH 7 / pH 10 / <br /> pH 4 / <br /> Temperature°F <br /> SIGNATURE REVIEWED BY PAGE OF <br /> FIGURE <br /> EMC ON WATER SAMPLE FIELD DATA SHEET A-Z <br />