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WATER SAMPLE FIELD DATA SHEET Rev 5/96 <br /> r <br /> PROJECT NO SAMPLE ID <br /> PURGED BY CLIENT NAME <br /> OW <br /> T 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 (feel) ACTUAL PURGE VOL (gaf ) <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 25'c <br /> ) ('F) (visuaVNTU) (2400 HR) <br /> OTHERDO OR <br /> (COBALT 0-100) (NTl1 0-2pp} <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL (t a FB-1 XDUP-1) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Batter(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 Serial No <br /> E C 1000 1 pH 7 / <br /> pH 10 ! pH 4 / <br /> Temperature °F <br /> SIGNATURE REVIEWED BY PAGE OF <br /> FIGURE <br /> EMCQN WATER SAMPLE FIELD DATA SHEET A-2 <br />