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WATER SAMPLE FIELD DATA SHEET Rev. 1, 3/90 <br /> PROJECT NO: SAMPLE ID: <br /> PURGED BY: CLIENT NAME: <br /> ' SAMPLED BY: LOCATION: <br /> TYPE: Ground Water Surface Water— Treatment Effluent — Other <br /> ' CASING DIAMETER(inches): 2 3 4 4.5 S Other <br /> ' CASING ELEVATION (feeVMSL) : VOLUME IN CASING (gal.) : <br /> DEPTH TO WATER (feet) : CALCULATED PURGE (gal.) : <br /> ' DEPTH OF WELL (feet) : ACTUAL PURGE VOL. (gal.) : <br /> ' DATE PURGED: Start(2400) End(2400) <br /> DATE SAMPLED: Start(2400) End(2400) <br /> ' TIME VOLUME PH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) (gal.) (units) (pMh0s/cm@ 25°C) (°l) (visual) (visual) <br /> D. O. (Ppm): ODOR: <br />' (COSALTO-ICO) (NTU 0.200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL (i.e. FB-1,X-DUP-1) : <br /> PURGING„EQUIPMENT SAMPLING EQUIPMENT <br /> 2'Bladder Pump Bailer(Teflon(D) r Bladder Pump Bailer(TeflonS) <br /> Centritugal Pump Bailer(PVC) DDL Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard'm+ Dedicated Well Wizard+m Dedicated <br /> Other: Other: <br /> rWELL INTEGRITY * LOCK# : <br /> REMARKS: <br /> Meter Calibration: Date: Time: Meter Serial# Temperature <br /> (EC 10001 (DI H2O )(pH 7 / )(pH 10_/_)(pH 4—/_) <br /> SIGNATURE Reviewed by: <br /> DOEMCON FIGURE <br /> Associates1l WATER SAMPLE FIELD DATA SHEET D-2 <br />