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WATER SAMPLE FIELD DATA SHEET Rev.5/96 <br /> PROJECT NO: SAMPLE ID <br /> PURGED BY: CLIENT NAME: <br /> SAMPLED BY: LOCATION: <br /> TYPE: Groundwater Surface Slater Leachate Other <br /> CASING DIAMETER(inches): 2 3 4 4.5 6 Other <br /> CASING ELEVATION(fect/MSL): VOLUME IN CASING(gal.): <br /> DEPTH OF NVELL(feet): CALCULATED PURGE(gal.): ] <br /> DEPTH OF WATER(feet): ACTUAL PURGE VOL.(gal.): <br /> DATEPURGED: ENDPURGE: <br /> DATE SAMPLED: SAMPLING TIME, <br /> TIME VOLUME pH E.C. TEMPERATURE TURBIDITY TIME <br /> (2400HR) (Bal.) (units) (p-htW—@25`c) (1) (idsua1fNM (2400M <br /> 1 <br /> OTHER: ODOR: � <br /> (COBALT 0-I00) Ku 0-200) i <br /> FIELD QC SATIPLES COLLECTED AT THIS WELL(i.e.FB-I,XDUP-1): <br /> PURGING EQUIPMENT SAMPLING EOUIPM(ENT <br /> l <br /> 2'Bladder Pump Bailer(Teflon) 2'Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) i <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well,Wizard'H Dedicated 'R'ell Wizard! Dedicated � <br /> Other. Other. l <br /> WELL INTEGRITY: LOCI{: <br /> REMARKS: <br /> pH,E.C.,Temp.Meter Calibration: Date: Time: Meter Serial l410.: <br /> E.C.I000 / pH 7 / pH I0 / pH 4 <br /> Temperature°F <br /> r <br /> SIGNATURE: REVIEWED BY: PAGE OF j <br /> i <br /> FIGURE <br /> WATER SAMPLE FIELD DATA SHEET A'2 <br />