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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(inches) 2 3 4 45 6 Other <br /> CASING ELEVATION(feet/MSL) VOLUME IN CASING(gal) <br /> DEP'T'H 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) (µmh0slemQ25°c) (F) (visual/N71l) (2400 HR) <br /> OTHER ODOR <br /> (COBALT a-lou} (NTu o zoo} <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i e FB-1,XDUP-1) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump Bader(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 Serial No <br /> EC 1000— I pH7 / pH 10 / pH4 I <br /> Temperature°F <br /> SIGNATURE REVIEWED BY PAGE OF <br /> INTERNATIONAFIGURE <br /> L, <br /> . TECHNOLOGY WATER SAMPLE FIELD DATA SHEET A-2 <br /> CORPORATION <br />