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� WATER SAMPLE FIELD DATA SHEET Rev 5196 <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 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 ENDPURGE <br /> DATE SAMPLED SAMPLING TIME <br /> TIME VOLUME pH EC TEMPERATURE TURBIDITY TIME <br /> (2400 HR) (gal) (units) (pmhoslcm@25°c) ("F) (visual/NTU) (2400 HR) <br /> • OTHER ODOR <br /> (COBALT 0-900) (NTU 0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i 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 WizardTM Dedicated Well WizardT`" 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 I pH 10 1 pH 4 1 <br /> Temperature°F <br /> SIGNATURE REVIEWED BY PAGE OF <br /> FIGURE <br /> E M C 0 N WATER SAMPLE FIELD DATA SHEET A-2 <br />