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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 /> ICASING DIAMETER (Inches) 2 3 4 4 5 6 Other <br /> CASING ELEVATION (feeUMSL) 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 EC TEMPERATURE COLOR TURBIDITY <br /> (2400 H►) (gal (ung) (y,mf,os/an c@ 25-C) (OF) (visual) (visual) <br /> D O (ppm) ODOR (COSALT0-100) (N 11 <br /> IFIELD OC SAMPLES COLLECTED AT THIS WELL (i a FB-1, X-DUP-1) <br /> P!JRGING EQUIPMENI <br /> 2`Bladder Pump Bader(Teflon®) 2"Bladder Pump Bailer(Teflon®) <br /> Centrifugal Pump Bailer(PVC) DDI.Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Wen Wizards Dedicated Well Wbmrdw Dedicated <br /> Other other <br /> IWELL INTEGRITY LOCK S . <br /> REMARKS <br /> Meter Calibration Date Time Meter Serial d Temperature <br /> (EC 1000 I!^_)(DI H2O )(pH 7 / )(pH 10 I )(pH 4 / ) <br /> SIGNATURE Reviewed by, <br /> EMCON <br /> FIGURE <br /> �1 !� <br /> Associates WATER SAMPLE FIEDATA SHEET BSL <br />