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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 END PURGE <br /> DATE SAMPLED SAMPLING TIME <br /> TIME VOLUME pH E C TEMPERATURE TURBIDITY TIME <br /> (2400 HR) (gal) (units) (umhoslcm@25°c) CF) (visual/NTU) (2400 HR) <br /> OTHER ODOR <br /> (COBALT 0-100) (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 Bailer(Teflon) 2 Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Balser(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bader(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard" Dedicated Well Wizard " Dedicated <br /> Other Other <br /> WELL INTEGRITY LOCK <br /> REMARKS <br /> pH EC Temp Meter Calibration Date Time Meter Serial No <br /> E C 1000 ! pH 7 ! pH 10 / pH 4 1 <br /> Temperature 'F <br /> SIGNATURE REVIEWED BY PAGE OF <br /> w FIGURE <br /> EMCON WATER SAMPLE FIELD DATA SHEET A-2 <br />