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FIELD DATA SHEET <br /> WATER SAMPLE FIELD DATA SHEET <br /> ` PROJECT No :—%a"V5C 7LOCATION- - <br /> WELL ID p• <br /> ' CLI ENT/STATION No. : p P <br /> FIELD TECHNICIAN: <br /> WELL INFORMATION CASING GA <br /> ' Depth to Liquid TOB TQC DIAMETER LINEAR FT AMPLE TYPE <br /> TotalDeptto water Tps�D Toc Z - 0 17 <br /> Total depth `�'`�'"" /"�- ❑ Groundwater _ <br /> eP 708-�� _TOC ❑ 3 038 ❑ Duplicate <br /> Date 0 ZZ Tune(2400) ❑ 4 ----- 066 <br /> ❑ Extraction well <br /> Prose T e ❑ 45 --- 0 8� - ❑ Trip blank <br /> rp ❑O�VWater interface ❑ S — -� 102 ❑ Field blank <br /> ' "'d -€ieRronic indicator ❑ 6 y 1 S <br /> Df ❑ Equipment blank <br /> ❑Other, t ❑ g �- .."a 26 ❑ Other,_. <br /> €DZCy _ DTW //0, t? _ Gal/Linear Number of 7 x Casings- � r�Calculated <br /> -L�.-- x Foot_—�7 -- L�(� Purge�� <br /> DATE PURGED_ Z' z START; 'E) b END(2100 hr) � PURGED tiY: <br /> DATE SAMPLED. 6 2i START; END(2400 hr) 8 <br /> SAMPLED BY; <br /> ' TIME VOLUME PH EG TEMPERATURE <br /> 2400 hr (" units Cumhos/cm 5 2 5"C) COLOR TURBIDITY ODOR <br /> --�°-�-�-- 15' -7_17 ,1S - <br /> 75'� CP 7 <br /> k 2 <br /> Pumped dry Yes No `"b`t0.1O° ►nuwno s.. <br /> 4er <br /> Yt Madcrw S F.Irl <br /> FIELD MEASUREMENTS AT TIME OF SAMPLE,AFTER RECHARGE <br /> DTw _TOB/rOc <br />' PURGING EQUIPMENT/I D 11 SAMPLWGUiPM <br /> ENT I.D li <br /> ❑ Bader ❑ Airlift Pump- ader <br /> Other ❑ E]Fugal Pump <br /> Other (� Dedicated Dedicated- <br /> L- El Other <br /> 1 sAMP CNTRL• DATE TIME{24061 No of Cont SIZE CONTAINER PRS qkNALYTICAL PARAMETER <br /> L rTy.d,� F <br /> REMARKS <br /> C' <br /> r <br /> °AcF,c <br /> SIGNATURE <br />