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WATER SAMPLE FIELD DATA SHEET Rev.5196 <br /> PROJECT NO : SAMPLE ID : <br /> PURGED BY : CLIENT NAME : <br /> OWT SAMPLED BY : LOCATION <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(gal.) : <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) (pmhos1cm@25°c) ('F) (visual/NTU) (2400 HR) <br /> OTHER: <br /> ODOR: <br /> 0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e. FB-1, XDUP-1) (COBALT 0000) (NTU <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 Wizard-A <br /> 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 / pH 4 / <br /> Temperature°F <br /> SIGNATURE: REVIEWED BY: PAGE OF <br /> FIGURE <br /> EMC®N WATER SAMPLE FIELD DATA SHEET A-2 <br />