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WATER SAMPLE FIELD DATA SHEET Rev 3/90 <br /> ' PROJECT NO SAMPLE ID <br /> PURGED BY CLIENT NAME <br /> SAMPLED BY LOCATION <br /> 1 <br /> TYPE Ground Water — Surface Water 'Treatment Effluent Other <br /> ' CASING DIAMETER(inches) 2 3 4 4 5 fi Other <br /> CASING ELEVATION (feet/MSL) 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 <br /> EC TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) (gal) (units) (yrnhoW=@)25°C) ('F) (visual) (visual) <br /> D O (ppm) ODOR (COBALT 0-100) (N 0-200) <br /> ' FIELD OC SAMPLES COLLECTED AT THIS WELL (i a F5-1, X-DUP-1) <br /> ei IRGINQ EQUIPMENT <br /> ' 2'Bladder Pump seder(Teflon®) Y Bladder Pump Bailer(reit") <br /> Centritugal Pump Bailer(PVC) DDL Sampler Basler(Sta nuns Steel) <br /> Submersible Pump — Bailer(Stainless Steel) Dipper Submersible Pump <br /> ' Won Wizard"' DedicatedOther well Wizard^r Dedicated <br /> Other <br /> ' WELL INTEGRITY _ LOCKS <br /> REMARKS <br /> Meter Cairbraaon Date Time r. Meter Serial 0 — Temporal" <br /> (EC 1000 / (DI H2O )(pH 7 1 )(pH 10_/_)(pH 4 ! ) <br /> ' SIGNATURE Reviewed by' <br /> FIGURE WATER SAMPLE FIELD DATA SHEET <br /> ' A <br /> sociates B-2 <br />