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1 <br />i <br />1 <br />1 <br />t <br />t <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />WATER SAMPLE FIELD DATA SHEET Rev. 5196 <br />PROJECT NO: SAMPLE ID: <br />PURGED BY: CLIENT NAME: <br />SAMPLED BY: LOCATION: <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 : END PURGE: <br />DATE SAMPLED: SAMPLING TIME: <br />TIME VOLUME pH E:C. TEMPERATURE TURBIDITY TIME <br />(2400 HR) (gal.) (units) (pmhos/emQ25°c) {°F) (visuaVNTU) (2400 HR <br />OTHER <br />ODOR <br />(COBALT 0-100) (NTU 0-200) <br />FIELD QC SAMPLES COLLECTED AT THIS WELL (i.e. FB -i, XDUP-1) : <br />PURGING EQUIPMENT <br />SAMPLING EO tTt _PMENT <br />2" Bladder Pump <br />Bailer(Teflon) <br />2" Bladder Pump <br />Bailer (Teflon) <br />Centrifugal Pump <br />Bailer (PVC) <br />Bomb Sampler <br />Bailer (Stainless Steel) <br />Submersible Pump <br />Bailer (Stainless Steel) <br />Dipper <br />Submersible Pump <br />Well WizardT14 <br />Dedicated <br />Well WizmP <br />Dedicated <br />Other. <br />Other. <br />WELL INTEGRITY: <br />REMARKS: <br />PH, E.C., Temp. Meter Calibration: Date: <br />E.C. 1000 / pH 7 ! <br />Temperature °F <br />SIGNATURE: <br />LOCK: <br />Time: Meter Serial No.: <br />PH 10 / pH 4 / <br />REVIEWED BY: PAGE <br />WATER SAMPLE FIELD DATA SHEET <br />OF <br />FIGURE <br />-2 <br />