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{a. q <br /> WATER SAMPLE FIELD DATA SHEET Rev.5/ss <br /> PROJECT NO : SAMPLE ID : <br /> . PURGED BY: CLIENT NAME : <br /> 0 r + SAMPLED BY: LOCATION : <br /> TYPE: Groundwater Surface Water Leachate <br /> Other <br /> CASING DIAMETER(inches): 2 3 4 4.5 <br /> S 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 /> ----------------- <br /> TIME VOLUME pH E.C. TEMPERATURE TURBIDITY <br /> TIME <br /> (2400 HR) (gat.) (units) (Nmh0s/cm@25-c) (•Fl <br /> (visuauNTU) (2400 HR) <br /> �s <br /> OTHER: <br /> ODOR: <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e. FB-1,XDUP-1) : (� T 100) {NTapp.2 ) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2'Bladder Pump —Sailer(Teflon) � _2-Bladder Pump BailerTeflon <br /> Centrifu al Pu Bailer(Teflon) <br /> 9 Pump Bailer(PVC) Bomb Sampler Bailer(Statniess Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper <br /> Submersible Pump <br /> W"Waard- Dedicated well WiizardTM <br /> Other. Dedicated <br /> Other. <br /> WELL INTEGRITY: <br /> REMARKS: LOCK: <br /> pH,E.C.,Temp.Meter CalibrationAate: Time: <br /> -�, _ Meter Serial No.: <br /> E.C. 1000 1 pH 7 / pH 10 / <br /> Temperature'F pH 4 ! <br /> SIGNATURE: REVIEWED BY: PAGE OF <br /> FIGURE <br /> ENVIRONMENTAL SOLUTIONS WATER SAMPLE FIELD DATA SHEET A�Z <br /> A DIVISION OF EMCON <br />