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WATER SAMPLE FIELD DATA SHEET Rev 5196 <br /> PROJECT NO SAMPLE ID <br /> PURGED BY <br /> CLIENT NAME <br /> OWT SAMPLED BY LOCATION <br /> TYPE Groundwater Surface Water Leachate Other <br /> CASING DIAMETER (inches) 2 3 4 45 6 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/cm@25'c) ("F) (visuaUNTU) (2400 HR) <br /> OTHER ODOR <br /> 8A <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(l a FB-1, XDUP-1} (C0LT' --100) (NYU 0-200) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Baiter(Teflon) 2"Bladder Pump Bader(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler p Bader(Stainless Steele) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard T" Dedicated Well Wizardr" Dedicated <br /> Other Other <br /> WELL INTEGRITY <br /> REMARKS LOCK <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 /> • FIGURE <br /> �*�=EM WATER SAMPLE FIELD DATA SHEET A-2 <br />