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WATER SAMPLE FIELD DATA SHEET Rev.5/96 <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(feeVMSL): VOLUME IN CASING(gal.): <br /> DEPTH OF WELL(fee): CALCULATED PURGE(gal.): <br /> DEPTH OF WATER(feet): ACTUAL PURGE VOL.(gal.): <br /> I <br /> DATEPURGED: END PURGE: <br /> DATE SAMPLED: SAMPLING TIME: <br /> i <br /> TIME VOLUME pH E.C. TEMPERATURE TURBIDITY TIME <br /> (2400 HR) (gal.) (units) (pmhoslcm@25"c) (°F) (visua!/NTU) (2400 HR) <br /> I <br /> OTHER: ODOR: <br /> (COBALT o-100) (NTU 0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e.FBA,XDUP-1): <br /> PU_R_GING EQUIP P NT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump Bailer(Teflon) i <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard"' Dedicated Well Wizard'"' Dedicated <br /> Other. Other. <br /> WELL INTEGRITY: LOCK: <br /> REMARKS: <br /> i <br /> pH,E.C.,Temp.Meter Calibration: Date: Time: Meter Serial No.: <br /> I <br /> E.C.1000 t pH 7 ! pH 10 1 pH 4 <br /> Temperature"F <br /> SIGNATURE: REVIEWED BY: PAGE OF <br /> I <br /> GU <br /> rA <br /> WATER SAMPLE FIELD DATA SHEET -Z <br />