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WATER SAMPLE FIELD DATA SHEET Rev 5/96 <br /> r 1 <br /> f 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 45 6 Other <br /> CASING ELEVATION (feeUMSL) 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) (gat) (units) (pmhoslcm@25"c) ("F) (visual/NTU) (2400 HR) <br /> OTHER ODOR <br /> (COBALT 0 100) (NTLI 0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i a FB-1,XDUP-1) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2 Bladder Pump Bailer(Teflon) 2"Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bader(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 <br /> 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 1 <br /> Temperature °F <br /> SIGNATURE REVIEWED BY PAGE OF <br /> FIGURE <br /> EMCON WATER SAMPLE FIELD DATA SHEET A-2 <br />