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WATER SAMPLE FIELD DATA SHEET Rev 5/96 <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 45 fi 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 EC TEMPERATURE TURBIDITY TIME <br /> (2400 HR) (gal) (units) (umhos/cmQ25°c) (°F) (visual/NTU) (2400 HR) <br />� I <br /> I <br /> i <br /> i <br /> OTHER ODOR <br /> (COBALT 0-100) (NTU 0 200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(l e FB-1, XDUP-1) <br /> I <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 Bader(Stainless Steel) Dipper Submersible Pump <br /> Well WizardT" Dedicated Well Wizard T11 Dedicated <br /> Other Other <br /> i <br /> WELL INTEGRITY LOCK <br /> REMARKS <br /> pH,E C Temp Meter Calibration Date Time Meter Serial No <br /> EC 1000 1 pH 1 pH 10 I pH 1 <br /> Temperature"F <br /> SIGNATURE REVIEWED BY PAGE OF <br /> . ^ FIGURE <br /> EMCON WATER SAMPLE FIELD DATA SHEET A-2 <br />