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WAT,,,. A <br /> ,R SAMPLE FIELD DATA 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 DIAME'T'ER(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.(gat.) : <br /> DATE PURGED: END PURGE: <br /> DATE SAMPLED : SAMPLING TIME: <br /> TIME VOLUME pH E.C. TEMPERATURE TURBIDITY TIME <br /> (2400 HR) (gat.) (units) (µmhos/em@25°c) (°F) (visual/1 PI LD (2400 FIR) <br /> OTHER: ODOR: <br /> (COBALT 0-100) (NTU 0-200) <br /> FIELD QC SAMPLES COLLEC£ED AT THIS WELL(i.e.FB-1,XDUP-1): <br /> PURGING E UIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bailer("Teflon) 2"Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump -Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard"' Dedicated Welt Wizard— Dedicated <br /> Other: Other: <br /> WELL INTEGRITY: LOCK: <br /> REMARKS: <br /> pH,B.C.,Temp.Meter Calibration: Date: Time: Meter Serial No.: <br /> E.C.1000_ I pH 7 ! pH 10 / pH 4 1 <br /> Temperature°F <br /> SIGNATURE: REVIEWED BY: PAGE-OF <br /> FIGURE <br /> INTERNATIONAL <br /> TECHNOLOGY WATER SAMPLE FIELD DATA SHEET B-2 <br /> CORPORATION <br />