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4;�k* WATER SAMPLE FIELD DATA SHEET 7Rev96 <br /> �ZJ' PROJECT NO SAMPLE ID <br /> yA1� PURGED BY CLIENT NAME <br /> O YY SAMPLED BY LOCATION <br /> TYPE Groundwater Surface Water Leachate Other <br /> CASING DIAMETER(inches) 2 3 4 45 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 EC TEMPERATURE TURBIDITY TIME <br /> (2400 HR) (gal) (units) (µmhos/cm@25°c) (°b7 (visual/N-M) (2400 HR) <br /> OTHER ODOR <br /> (COBALT 0-100) (NIU 0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(t a FB-1,XDUP-1) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump Baiter(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'" <br /> Dedicated <br /> Other <br /> Other <br /> WELL INTEGRITY LOCK <br /> REMARKS <br /> PH,E C,Temp Meter Calibration Date Time Meter Serial No <br /> E C 1000 NH 7 r pH 10 / pH 4 <br /> Temperature"F <br /> SIGNATURE REVIEWED BY PAGE OF <br /> FIGURE <br /> • EMCQN WATER SAMPLE FIELD DATA SHEET C-2 <br /> U <br />