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.a <br /> WATER SAMPLE FIELD DATA SHEET Rev 5/96 <br /> PROSECT NO SAMPLE ID � <br /> -� PURGED BY CLIENT NAME <br /> O Yy■�► [ SAMPLED BY LOCATION <br /> TYPE Groundwater Surface Water Leachate Other <br /> CASING DIAMETER(inches) 2 3 4 45 5 Other <br /> CASING ELEVATION(feet/MSL) VOLUME IN CASING(gal) <br /> DEPTH OF WELL(Peet) 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) (µmhos/cm@25°c) (°F) (visual/NT1J) (2400 HR) <br /> OTHER ODOR <br /> (COBALT0100) (NTU0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(t e FB-1,XDUP-1) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Baller(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 Wizard'" Dedicated ' <br /> Other Other <br /> WELL INTEGRITY LOCK <br /> REMARKS <br /> pH,E C,Temp Meter Calibration Date Time Meter Serial No <br /> EC 1000 pH 7 / pH 10 / pH 4 / <br /> Temperature°F <br /> SIGNATURE REVIEWED BY PAGE OF <br /> ^ <br /> FIGURE <br /> EMCN WATER SAMPLE FIELD DATA SHECT Awl <br />