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i <br /> WATER SAMPLE FIELD DATA SHEET1 <br /> Rev.5/96 <br /> PROJECT NO: SAMPLE ID: <br /> PURGED BY: CLIENT NAME: <br /> SAMPLED BY: LOCATION: <br /> TYPE: Groundwatcr Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 3 4 4.5 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 /> i <br /> DATE PURGED: END PURGE: <br /> DATE SAMPLED: SAMPLING TIME: <br /> TIME VOLUME pH E.C. TEMPERATURE TURBIDITY TIME <br /> (2400 HR) (gal.) (units) (µmhosjcm(r125"c) ("F) (visual[NTU) (2400 HR) 1 <br /> f <br /> f <br /> E <br /> E <br /> OTHER ODOR: E <br /> (COBALT 0-100) (NTu 0.200) i <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e.FB-1,)DUP-1): <br /> I <br /> PURGING EQUIPMENT SAMPLING EOUIPMENT <br /> 2"BIadder Pump Bailer(Teflon) 2"Bladder Pump Bailer(Teflon) <br /> i <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizardn' Dedicated Well Wizardlm Dedicated <br /> Other. Other. <br /> WELL INTEGRITY: LOCK.: <br /> REMARKS: <br /> I <br /> s <br /> pH,E.C.,Temp.Meter Calibration: Date: Time: Meter Serial No- <br /> &C.100D <br /> o-E.C.1000 / pH 7 / pH 30 / pH 4 ! <br /> 1 <br /> Temperature T <br /> SIGNATURE: REVIEWED BY: PAGE OF <br /> FIGURE <br /> WATER SAMPLE FIELD DATA SHEET <br />