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WATER SAMPLE FIELD DATA SHEET Rev 5/96 <br /> PROJECT NO SAMPLE ID <br /> PURGED BY CLIENT NAME <br /> SAMPLED BY LOCATION <br /> TYPE Groundwater Surface Water Leachate Other <br /> CASING DIAMETER(itches) 2 3 4 45 6 Other <br /> CASING ELEVATION(feet/MSL) VOLUME IN CASING(gat) <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) (µmhos/cm@25°c) (11) (vimal/NTU) (2400 HR) <br /> OTHER ODOR <br /> (COBALT 0 100) (NTu o-zoa) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i e FB-1,XDUP-1) <br /> PURGING_EQUIPMENT SAMPLING EOUIPMENT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard'" Dedicated Well Wizard"' Dedicated <br /> Other Other <br /> WELL INTEGRITY LOCK <br /> REMARKS <br /> pH,E C,Temp Meter Calibration Date Time Meter Senal No <br /> EC 1000__ I _ pH7 I pH10 I pH4 1 <br /> Temperature°1' <br /> SIGNATURE REVIEWED BY PAGE OF <br /> i <br /> FIGURE <br /> IN'TERNATIONAL . <br /> TECHNOLOGY WATER SAMPLE FIELD DATA SHEET A-2 <br /> CORPORATION <br />