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PROJECT NO: SAMPLE ID : - <br />PURGED BY: CLIENT NAME : <br />SAMPLED BY: LOCATION: <br />TYPE: Groundwater Surface Water Leachate Other <br />CASING DIAhffiTER (inches): 2 3 4 4.5 b Other <br />CASING ELEVATION (feeUMSL) : VOLUME IN CASING (gal.) : <br />DEPTH OF WELL (feet) : CALCULATED PURGE (gat) : <br />DEPTH OF WATER (feet) : ACTUAL PURGE VOL. (gal.) : <br />DATEPURGED: END PURGE: <br />DATE SAMPLED : SAMPLING TBE: <br />TIME VOLUME pH E.C. TEMPERATURE TURBIDITY TIME <br />(2400 HR) (gal.) (units) (pmhoslcm cd25%) (visuaVN <br />Ttn (2400 HR) <br />OTHER.. ODOR <br />(COBALT 0-100) (NTU 0-200) <br />FIELD QC SAMPLES COLLECTED AT THIS WELL (i.e- FB -1, )DUP-1) : <br />PURGING EO MENT SAMPLING E01UPivENT <br />2" Bladder Pump Bailer (Teflon) 2" Bladder Pump Bailer (Teflon) <br />Centrifugal Pump Bailer (PVC) Bomb Sampler Bailer (Stainless Steel) <br />Submersible Pump Basler (Stainless Steel) Dipper Submersible Pump <br />Well Wizardr"Q Dedicated Well Wizards <br />Dedicated <br />Other. Other. <br />WELL INTEGRITY: <br />REMARKS: <br />psi, E.C., Temp. Meter Calibration: Date:_ <br />E.C. 1000 / pH <br />Temperatxrre "F <br />SIGNATURE: <br />LOCK: <br />Time: Meter Serial No.: <br />pH 10 / pH 4 <br />REVIEWED BY: PAGE OF <br />FIGURE <br />WATER SAMPLE FIELD DATA SHEET A -Z <br />