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WATER SAMPLE FIELD DATA SHEET Rev.5/96 <br /> PROJECT NO: <br /> 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 /> i <br /> CASING ELEVATION(feeVMSL): VOLUME IN CASING(gal.) <br /> DEPTH OF WELL(feet): CALCULATED PURGE <br /> DEPTH OF WATER(feet): ACTUAL PURGE VOL.(gal.) <br /> DATEPURGED: END PURGE: <br /> ATE SAMPLED: SAMPLING TIME. <br /> VOLUME pH E.C. TEMPERATURE TURBIDITY TIME <br /> F(24;00Hk) (gal.) (units) (pmhos1cmQ25"c) ("F) (visualINTU) (2400 HR) <br /> i <br /> I <br /> OTHER: <br /> ODOR <br /> (COBALT D-100) _(RTU 0=200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e.FB-I,XDUP-1): <br /> PURGING EQUIPMENT SAMPLING E01 9PMENT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pum i <br /> P Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler P Bailer(Stainless Steel) � <br /> Submersible Pump -Bailer(Stainless Steel) <br /> Dipper Submersible Pump 1 <br /> Well Wizard" Dedicated <br /> Well WlzardTM Dedicated <br /> Other <br /> Other- <br /> WELL <br /> therWELL INTEGRITY: <br /> REMARKS: <br /> LOCK: <br /> i <br /> pH,E.C.,Temp.Meter Calibration: Date: Time: Meter Serial No.: <br /> FIC.1000_ / pH 7 / pH 10 / pH 4 / <br /> Temperature°F <br /> SIGNATURE; REVIEWED BY: PAGE <br /> OF <br /> FIGURE <br /> WATER SAMPLE FIELD DATA SHEET <br /> i <br />