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WATER SAMPLE FIELD DATA SHEET Rev 5/96 <br /> PROJECT NO SAMPLE 1D <br /> v PURGED BY CLIENT NAME <br /> OWT SAMPLED BY LOCATION <br /> TYPE Groundwater Surface Water Leachate Other <br /> CASING DIAMETER (inches) 2 3 4 46 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 EC TEMPERATURE TURBIDITY TIME <br /> (2400 HR) (gat) (units) (vmhos/cm@26'c) ('F) (visual/NTU) (2400 HR) <br /> OTHER ODOR <br /> (COBALT 0-100) (NT�` U p_200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i a FB-1,XDUP-1) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bader(Teflon) 2"Bladder Pump Bader(Teflon) <br /> Centrifugal Pump Bader(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard", Dedicated Well Wizard"`" <br /> Dedicated <br /> Other <br /> Other <br /> WELL INTEGRITY <br /> LOCK <br /> REMARKS , <br /> pH E C,Temp Meter Calibration Date Time Meter Serial No <br /> EC 1000 1 pH 7 / <br /> pH 10 / pH 4 I <br /> Temperature IF <br /> SIGNATURE REVIEWED BY PAGE OF <br /> n A FIGURE <br /> EMWATER SAMPLE FIELD DATA SHEET Awl <br />