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GROUNDWATER SAMPLE FIELD DATA SHEET <br /> PROJECT NO 020105306 0609 WELL ED 1�1p— <br /> CLIENT/STATION #/ARCO/#760 ADDRESS 225 S Cherokee Ln, Lodi <br /> DATE <br /> CASING DIAMETER (Inches) 2 3 f4 45 5 6 8 12 Other <br />' _ (CIACLE omn <br /> GALLONSILINEAR FOOT 017 038 66 083 1 02 is 26 58 Other <br /> �/ - <br /> TD 7/' —DTW r ✓ = �r -r q X GALLONS= y X CASING = C '� CALCULATE=D ACTUAL <br /> 1 WATER LINEAR FT 1 CASING VOLUMES PURGE PURGE <br /> /COLUMN VOLUME <br /> DATE PURGED 0 / START(2400 Hr) �5 5 END (2400 Hr) <br /> 1 DATE SAMPLED �` START(2400 Hr) END(2400 Hr) <br /> TiME< �- VQLUME �� ^ H 5 ` � C �'�EMPERATLIR _ COLOR s� 1UF18tofFaF <br /> (2400 Hr) (gat j uk (uruts)� (µmho z E- (visual) '(visuaty <br /> -925'.C) 9 <br /> 1 ,(� ,d C�l� G• � 7- ��. � /'cw .�. G/ate <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(I a FB-1, XDUP-1) <br /> 1 PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2 Sladder Pump Bailer(Teflon® 2 Bladder Pump Bader(TellorPS) <br /> Cemnlui;M Pump Bailer(PVC) ODL Sampler Bailer(Stainless Steell <br /> Submersiole Pump Bader(Stainless Dipper Submersible Pump <br /> Steell <br /> 1 Vac Truck r777� <br /> DediCated >d:� Bader Disposable Dedicated <br />' Other Other <br /> WATER COLUMN TL^X 80=B0•.RECHARGE ' r t TD Ban.RECHARGE_ �'CI SAMPLE DEPTH <br />' REMARKS <br /> 1 <br /> COMPLETED BY (PRINT NAME)/ - .�`/��-� SIGNATURE <br /> REVIEWED BY DATE <br /> 1 PAGE- OF <br />