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WATER SAMPLE FIELD DATA SHEET Rev 1192 <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 (feet) 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 E C TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) (gal) (units) (µmhos/cmO 25°C) (°Fl (visual/cobalt) (visual/NTU) <br /> I <br /> OTHER ODOR <br /> (COBALT 0-100) (NTtJ 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (l 6 FB-1, X-DUP-1) <br /> PURGING_EQUIPMENT SAMPLING EQQIPMENT <br /> 2'Bladder Pump Bader(Tenon@) 2-Bladder Pump Bailer(Tenone) <br /> Centrifugal Pump Bader(PVC) Bomb Sampler Bader(Stainless Steel) <br /> Submersible Pump Mier(Stainless Steel) Dipper Submersible Pump <br /> Well Wizardr"' Dedicated Well Wizard* Dedicated <br /> Other Other <br /> WELL INTEGRITY - . _ LOCK# <br /> REMARKS <br /> pH, E C,Temp Meter Calibration Date Time Ulster Serial No <br /> EC 1000 / off 7 / pH 10 ! off 4 ! <br /> Temperature ° F <br /> SIGNATURE Reviewed by Page of <br /> �1 EMCON FIGURE <br /> WATER SAMPLE FIELD DATA SHEET A--2 <br />