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SM ' <br /> r.\V WATER SAMPLE FIELD DATA SHEET Rev. 1. 3= <br /> PROJECT NO: SAMPLE ID: <br /> PURGED BY: CLIENT NAME: <br /> SAMPLED BY: LOCATION: <br /> TYPE: Ground Water Surface Water Treatment Effluent — Other <br /> CASING DIAMETER(inches): 2 3 4 4.5 6 Other <br /> CASING ELEVATION(feet/MSL) : VOLUME IN CASING (gal.) : <br /> DEPTH TO WATER (feet) : CALCULATED PURGE (gal.) : <br /> DEPTH OF WELL (feet) : ACTUAL PURGE VOL (gal.) <br /> DATE PURGED: End Purga Sample <br /> DATE SAMPLED: (2400 Hr) Time <br /> (2400 Hr) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (I.e. FB-1,X-DUP-1 k; <br /> FIELD MEASUREMENTS <br /> TIME VOLUME PH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) (pal•) (unit) WMoa/anO 25'C) (•F) (visual) (visual) <br /> D. O. (pprn): COLOR. COMT(0- 100): c ew <br /> CJWdr Moe.ran <br /> ODOR: TURBIDITY. NTU(0-200): Yelbw Light <br /> &awn... Tran... <br /> PURGING EQUIPMENT <br /> r Bladder Pump Bailer(Teflon®) 2'81, 1, Punp Bailer(Teflon@) <br /> Centrifugal Pump Bailer(PVC) - DDI-Sampler Bailer(Stwnieas Steel) <br /> Submersible Pump Bader(Stainless Sww) Dipper Submenuble Pump <br /> Wei wiizardm Dedicawd Well wMardn Dedicated <br /> Other: Other: <br /> WELL INTEGRITY, LOCK# <br /> r^nGMARKS. <br /> SIGNATURE Checked by <br /> M i�1 EMCON <br /> Associates WATER SAMPLE FIELD <br /> ElD DATA SHEET [A-2 ' <br />