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I i <br /> WATER SAMPLE FIELD DATA SHEET Rev 5/96 <br /> PROJECT NO SAMPLE ID <br /> PURGED BY CLIENTNAME <br /> OWT 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 /> DATEPURGED END PURGE <br /> DATE SAMPLED SAMPLING TIME <br /> TIME VOLUME pH EC TEMPERATURE TURBIDITY TIME <br /> (2400 HR) (gal) (units) (µmhos/cm@25°e) (°F) (visual/N-M) (2400 HR) <br /> iOTHER ODOR <br /> (COBALT 0 100) (NTU 0 200) <br /> MELD QC SAMPLES COLLECTED AT THIS WELL(t a FB-1,XDUP-1) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump -Bailer(Teflon) 2"Bladder Pump Bailer(Teflon) <br /> Centnfugal 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 I000_ / pH 7 / pH 10 / pH 4 / <br /> Temperature"F <br /> SIGNATURE REVIEWED BY PAGE OF <br /> FIGURE <br /> E M CO N WATER SAMPLE FIELD DATA SHEET A-2 <br />