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WATER SAMPLE FIELD DATA SHEET Rev.5/96 <br /> i <br /> PROJECT NO: SAMPLE ID <br /> PURGED BY: CLIENT NAME: i <br /> SAMPLED BY: LOCATION: <br /> i <br /> TYPE: Groundwater Surface Water Leacbate 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 TRAE <br /> (2400 HR) (gal.) (units) (pmhos1cm@25°c) (°F) (visnal/NTU) (2400 HR) <br /> OTHER ODOR <br /> (COBALT 0-100) (NTU 0-200) . <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e.FB-1,XDUP-1): <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Baser(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizards Dedicated Wet][WrrardI Dedicated <br /> Other: Other. <br /> WELL INTEGRITY: LOCK: <br /> REMARKS: <br /> pH,E.C.,Temp.Meter Cahbratiom Date: Time: Meter Serial No.: <br /> E.C.1000 / pH 7 / pH 10 ! pH 4 / <br /> Temperature F <br /> SIGNATURE: REVIEWED BY: PAGE OF J <br /> FIGURE <br /> TER SAMPLE FIELD DATA SHEET d <br /> WEA <br />