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WATER SAMPLE FIELD DATA SHEET Rev. 1192 <br /> PROJECT NO. SAMPLE ID <br /> PURGED BY CLIENT NAME <br /> SAMPLED BY LOCATION <br /> N°= Ground Water Surface Water Leachate Other <br /> CASING DIAMETER(Inches) 2 3 4 4 5 $ Other <br /> CASING ELEVATION(feet/MSL) VOLUME 1N CASING (gal ) <br /> DEPTH OF WELL (feet) CALCULATED PURGE (gal.) <br /> DEPTH TO WATER (feet) ACTUAL PURGE VOL. (gak) <br /> DATE PURGED End Purge <br /> DATE SAMPLED Sampling Time <br /> Ti"IE VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> (2430 Hr) (gal) (units) (pmhos/cm@ 250 C) (°F) (visual/oabait) (visuai/NTU) <br /> r <br /> OAR (COBALT 0-100) (N7T�QC SAMPLES COLLECTED AT THIS WELL (i s FBA, X-DUP-t} <br /> PURGING EQUIPMEM SAMPLING EQUIPMENT <br /> 2'Bladder Pump Sailer(Teflona) 2'Bladder Pump Bailer(Teflon®) <br /> Centntugal Pump Sailer(PVC) Bomb Sampler Bader(Stainless Ste) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wlzard'm Dedicated Well WLmrd m Dedicated <br /> O tiler Other <br /> WELL INTEGRITY LOCK# <br /> REMARKS <br /> pH, E C ,Temp Meter Calibration Date Time <br /> Meter Serial No <br /> EC 1000 I pH 7 / „pH 10 I _ vH 4 I <br /> Temoerawre 0F <br /> SIGNATURE Reviewed by Page of <br /> E M C O N FIGURE <br /> Associates WATER SAMPLE FIELD DATA SHEET A=2 <br />