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WATER SAMPLE FIELD DATA SHEET Rev 119 <br /> 1 <br /> PROJECT NO 8800391A/01050000 SAMPLE ID oV — / D <br />' PURGED BY CLIENT NAME Don Rodgers <br /> SAMPLED BY LOCATION 515 W Charter Wy,Stockton <br /> TYPE Groundwater Surface Water Leachate Other <br /> CASING DIAMETER(inches) 2 3 4 45 6 Other <br />' CASING ELEVATION(feet1MSL) VOLUME IN CASING(gal) - 0 <br /> DEPTH OF WELL(feet) t CALCULATED PURGE(gal) <br /> DEPTH TO WATER(feet) ACTUAL PURGE VOL (gal) <br /> DATE PURGED O END PURGE <br /> DATE SAMPLED SAMPLING TIME 12{7 <br /> TIME VOLUME pH EC TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal) (units) (gmhoslcm 5"c) (visual) visual) <br />' OTHER ODOR <br /> (COBALT 0-100) (NTU 0-200) <br />' FIELD QC SAMPLES COLLECTED AT THIS WELL( i a FB-1,XDUP-1) <br /> PURGING EOJJIPMENT SAMPLING EQUIPMENT <br />' 2"Bladder Pump Bader(Teflon) 2"Bladder Pump Bader(Teflon) <br /> Centrifugal Pump Bader(PVC) Bomb Sampler Bader(Stainless Steel) <br />' Submersible Pump Bader(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard8 edicated Well Wizar De orated <br /> Other t / ���/ Other <br /> WELL INTEGRITY 0,- LOCK <br />' REMARKS <br />' pH,E C,Temp Meter Calibration Date Time Meter Serial No <br /> EC 1000 / pH 7 / pH 10 / pH 4 / <br /> Temperature°F ~� <br />' SIGNATURE REVIEWED BY PAGE OF <br />