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WATER SAMPLE FIELD DATA SHEET Rev 5196 <br /> r <br /> PROJECT NO SAMPLE ID <br /> Y PURGED BY CLIENT NAME <br /> O WT 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 EC TEMPERATURE TURBIDITY TIME <br /> (2400 HR) (gal} (units) (pmhoslcm 25'c <br /> @ ) ('F) (visuaVNTtJ) (2400 HR) <br /> OTHER ODOR <br /> (caea,LT o 100} (nrTu o-zoo) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL (r a FS-1, XDUP-7) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2 Bladder Pump Bader(Teflon) 2"Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler R Bader(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Welt Wizard T" Dedicated Well WizardDedicated <br /> Other Other <br /> WELL INTEGRITY LOCK <br /> REMARKS <br /> PH E C Temp Meter Calibration Date Time Meter Serial No <br /> EC 1000 ! pH 7 ! pH 14 / <br /> PH 4 1 <br /> Temperature 'F <br /> SIGNATURE REVIEWED BY PAGE OF <br /> r..-,. FIGURE <br /> EMCON WATER SAMPLE FIELD DATA SHEET A-2 <br />