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. WATER SAM PLE_FEELD_ DATA SHEET Rev. 5/96 <br /> PROJECT NO . SAMPLE ID <br /> PURGED BY : CLIENT NAME : <br /> OWT SAMPLED BY : LOCATION : <br /> oc TION <br /> TYPE: Groundwater Surface Water Leachate 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 (gat.) : <br /> DEPTH OF WATER (feet) : ACTUAL PURGE VOL. (gal,) : <br /> DATE PURGED : END PURGE: <br /> DATE SAMPLED : SAMPLING TIME : <br /> TIME VOLUME pH E.C. TEMPERATURE TURBIDITY TIME <br /> (2400 HR) (gal.) (units) (pmhos/cm@25"c) (°F) (visual/NTU) (2400 HR) <br /> • OTHER: ODOR: <br /> (coaALT 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 Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard"' Dedicated Well WizardT" Dedicated- <br /> Other. Other: <br /> WELL INTEGRITY: LOCK. <br /> REMARKS: <br /> pH, E.C.,Temp.Meter Calibration:Date: Time: Meter Serial No.: <br /> E.C. 1000 ! pH 7 / pH 10 1 pH 4 ! <br /> Temperature°F <br /> SIGNATURE: REVIEWED BY: PAGE OF <br /> FiGURE- <br /> EMCON WATER SAMPLE FIELD DATA SHEET"" <br /> r � B-2 <br /> �J <br />