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SAMPLE FIELD DATA SHEET Rev. 1, 3/90 <br /> ' PROJECT NO: SAMPLE ID: <br /> PURGED BY: CLIENT NAME: <br /> SAMPLED BY: LOCATION: <br /> TYPE: Ground Water Surface Water Treatment Effluent Other <br /> ' CASING DIAMETER(inches): 2 3 4 4.5 6 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 E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) (gal.) (units) (µmhos/cm@ 25°C) (°F) (visual) (visual) <br /> ODOR: <br /> (COBALT 0-100) (NTU 0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL (i.e. FB-1,X-DUP-1) : <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> ' 2"Bladder Pump Bailer(Teflon®) 2"Bladder Pump Bailer(Teflon®) <br /> Centrifugal Pump Bailer(PVC) DDL Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> ' Well WizardTm Dedicated Well WizardTM Dedicated <br /> Other: Other: <br /> ' WELL INTEGRITY ' LOCK# : <br /> REMARKS: <br /> Meter Calibration: Date: Time: Meter Serial# Temperature <br /> ' (EC 1000_/_)(DI H2O )(pH 7_/_)(pH 10 / )(pH 4 / ) <br /> SIGNATURE Reviewed by: <br /> ' FIGURE <br /> WATER SAMPLE FIELD DATA SHEET <br /> SSCIat@S <br />