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WATER SAMPLE FIELD DATA SHEET Rev.5196 <br /> PROJECT NO: SAMPLE ID: <br /> PURGED BY: CLIENT NAME: <br /> OWT SAMPLED BY: LOC.-kTION: <br /> TYPE: Groundwater Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 3 4 4.5 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 <br /> END PURGE <br /> DATE SAMPLED: SAMPLING TLL1E: <br /> TIME VOLUME pH E.C. TEMPERATURE TURBIDITY TIME <br /> (2400 HR) (gal.) (units) (punhos/cmCE25-c) M (visuaWtU) (2400 HR) <br /> OTHER: ODOR <br /> (COBALT 0-100) (NTU 0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e.FB-1,XDUP-1): <br /> PURGING EQUIPMENT SkNfPLING EQUIPMENT <br /> 2"Bladder Pump Bailer(Teflon) .2"B Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) , <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well WizardTm Dedicated WeH'VmrdT" Dedicated <br /> Other: Other: ' <br /> WELL INTEGRITY: LOCK: <br /> REMARKS: <br /> pH,E.C.,Temp.Meter Calibration: Date: Time: Meter Serial No.: <br /> E.C.1000 / pH 7 / pH 10 ! pH 4 / <br /> Temperature°F <br /> SIGNATURE: REVIEWED BY- PAGE OF <br /> _se <br /> FIGURE <br /> EMCON WATER SAMPLE FIELD DATA SHEET ®2 <br />