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FIELD DATA SHEET <br /> V`lATEft S�91�4PLF FIELD DATA SHEET <br /> .o-= �-' v�, � �.~ ..y » l\ 4ti M,.i♦ {"aw�:.�'�'c 16 r'w, :^A`l. a^♦ <br /> PROJECT No ` d 1 Z LOCATION Z 0 —\ WELL ID # <br /> CLIENT/STATION No Z s ) _ FIELD TECHNICIAN. <br /> ".� � <br /> WELL INFORMATION CASING GAL <br /> Depth to Liquid ~ TOB TOC DIAMETER LINEAR FT SAMPLE <br /> Depth to water I� ,�y TOB TQC p 2 017 Groundwater <br /> Total depth TOB _1$l•� TOC 3 038 Duplicate <br /> Date 3%SES Ck" Time (2400)_l3 ,o0 4 <br /> 066 Extraction well <br /> ❑ 4 5 083 ❑ Trip blank <br /> Protx Type ❑ Oil/Water interface ❑ 5 102 ❑ Field blank <br /> and [RElecironic indicator -W Z ❑ 6 1 5 "❑ Equipment blank <br /> t° ❑Other, <br /> ❑ $ 2 6 '❑ Other, <br /> i Gal Linear <br /> � Number of " Calculated <br /> TD. T� 1,i - DTW 3 x Foot� —_ i x Casings 3 Purge�ln�� <br /> DATE PURGED 3t�cS��s START: 1�, j_END (2400 hr) PURGED BY ��U <br /> DATE SAMPLED:3 A%R1,e START: END (2400 hr) �b�•,(_ SAMPLED BY: <br /> TIME VOLUME pH E.C. TEMPERATURE R � <br /> 2400 hr) ga1 Z (units) umhos cm @ 2 SOC) eF COLOR TURBIDITY ODOR <br /> _ ►n-3y D ] _ tnq�l, la _.. <br /> MOD S'37Zanq <br /> .R L9Mo � / <br /> Pumped dry Yes No r°b0.w`Op <br /> crag, , c. <br /> 110- <br /> FIELD MEASUREMENTS AT TIME OF SAMPLE, AFTER RECHARGE: Te. , i�„a.` " <br /> DTW. b? _TOB OC <br /> PURGING EQUIPMENT/I.D. # SAMPLING UIPMENT I D # <br /> ❑ Bailer ❑ Airlift Pump `Bailer Z - <br /> 4 Centrifugal Pump- 4/r- ❑ Dedicated ❑ Dedicated <br /> ❑ Other ❑ Other <br /> SAME.CNML 4 DATE TIME(2400) tti o` of Cont SIZE CONTAINER PRESERVE ANALYTICAL PARAMETER <br /> REMARKS ' <br /> 51C;N�tT11FC tt{ /� l <br /> PAcnc <br /> 41' >>r ri,�• h,,ti\[!�\J\j nvvznorYticHrAt <br />