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WATER SAMPLE FIELD DATA SHEET Rev. 1, 3/90 <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) (µmhoslcmo 25°C) (°F) (visualfoobalt) (visual/NTU) <br /> t OTHER: ODOR: <br /> (coBAl_To-yoo) (NTuo-zoo) �a <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL (i.e. FB-1, X-DUP-1) <br /> PURGING EQUIPMENTSAMPLINQ EQUIPMENT <br /> 2"Bladder Pump Bailer(Teflone) 2"Bladder Pump Bailer(Teflon(D) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steep Dipper Submersible Pump <br /> Well Wizard'^ Dedicated Well Wizardm Dedicated <br /> Other: Other: <br /> WELL INTEGRITY : LOCK# : <br /> REMARKS: <br /> H, E.C.,Temp. Meter Calibration: Date: <br /> P P rime: Metter Serial# <br />' E.C. 1 000 / pH 7 / pH 10 / pH 4 J <br /> Temperature o F <br /> SIGNATURE Reviewed by: Page of <br /> E M C O N FIGURE <br /> Associates WATER SAMPLE FIELD DATA SHEET A-2 <br />