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WATER SAMPLE FIELD DATA SHEET Rev.5/96 <br /> PROJECT NO: SAMPLE M: <br /> PURGED BY: CLIENT NAME <br /> SAMPLED BY: LOCATION: <br /> i <br /> TYPE: Groundwater Surface Water Leachate Other <br /> CASING DIANvIETER(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 /> DATE PURGED: END PURGE: <br /> DATE SAMPLED: SAMPLING TIME: <br /> TIME VOLUME pH E.C. TEMPERATURE TURBIDITY TIME <br /> (2400 HR) (a�-) (Units) (µmhoslc1n@25"e) (°F) (Visi-Iftnu) (2400 HR) <br /> i <br /> - I <br /> i <br /> I <br /> OTHER ODOR: <br /> ® (COBALT 0-100) (TUTU 0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e.FB-1,XDUP-I): <br /> PURGING EOUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump BaDer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard"" Dedicated Well Wizard"" Dedicated <br /> Other. Other. <br /> i <br /> I <br /> WELL INTEGRITY: LOCK­- <br /> REMARKS: <br /> OCKREMARKS: <br /> pl- E.C,Temp-Meter Calibration: Date: Time: Meter Serial No.: <br /> E.C.1000 / pH 7 / pH l 0 / pH 4 / <br /> Temperature"F <br /> SIGNATURE: REVIEWED BY: PAGE OF <br /> i <br /> FIGURE <br /> WATER SAMPLE FIELD DATA SHEE:T ] A-2 <br />