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FIELD DATA SHEET <br /> ;777!i�1<!i^S1'C <br /> �,-� .: ��.��•aN�,r �'^Tr rS 6"1'� 2r .�_ �ar5 l�r ).u. roti: . �:• r•:: <br /> WATEFI SAMPLE FIELD DATA SHEET u r <br /> ... .. WELL ID <br /> PROJECT No.: � 1 U- OI• Q 4 LOCATION, <br /> CLIENTlSTATION No.• �� ' U 6 FIELD TECHNICIAN: <br /> • SIN <br /> WELL INFO MATZO`LI LINEAR F7: PL <br /> AME•TE <br /> EM <br /> Depth to Liquid: — 'TO -.,------TOC ❑ � ffGroundwater <br /> Depth to water. 3'L TOB__f _ — 13Duplicate <br /> Total de ch• L. . '}o TOB TOC ~-" ❑ Extraction well <br /> ota .- _q Z- Time(2400): I Q3° ❑ a � � ❑ Trip blank <br /> ❑ $ 1 ❑ Field blank <br /> Nab*Type ❑ OiVwater interface ❑ $ C3 Equipment blank <br /> MW [TEiectronic indicator---q--- ❑ Other; <br /> t.o.Ir ❑Other; - ❑ $ <br /> Gal/LinearNumber of �{ Calculated <br /> t 5 .bFS x Foot () 3� _ :5 .'115_x Casings `'t' = Purge <br /> TD DTW __ — <br /> GATE PU <br /> RGED: 4-I--'i2- START: 10'31 END (2400 hrY PURGED BY: G�� <br /> DATE SAMPLED:2r—I—'I Z START: 0_ '�3-ENO(2400 hr): l 1 SAMPLED BY: GT C, <br /> ti <br /> TIME VOLUME PH F-C- TEMPERATURE OL R RBIDI QI2Q <br /> 240 <br /> hr � nit (umhosltC�m® 2 S' (!D r�AM� <br /> 1040 . lb '?"zO <br /> 10121 6 <br /> o4{_...g 00 0 Cod' fO �� <br /> r <br /> Cabah¢100 1(TV 0:00 ft" <br /> Abderaw <br /> Pumped dry Yes ! c* ►� <br /> Y�M1ov l7j+e Naw <br /> FIELD MEASUREMENTS AT TIME OF SAMPLE,AFTER RECHARGE: Lvw" Traal <br /> DTW: TOB/TOC _ <br /> SAMPLE EQQUPMENT I.D. <br /> F�1 GiNf, •QUIPMENT I.O. # �^ <br /> ❑ Bailer. ❑ Airlift: (Bailer. tU — <br /> entrifugal• C3 Dedicated: ❑ Dedicated: <br /> ❑ Other. ❑ Other. <br /> SAMPLE I.O. 2ME 71ME('-40tH No of Cort CON A Ng PRESERVE ANALYTICAL_PARAMMR <br /> Qrn 1 VOA H e- <br /> L- <br /> ,yQ/1/ '/Ut�AT��� <br /> WELL INTEGRITY: mood ❑ Fair ❑ Poor <br /> REMARKS: <br /> ! rl <br /> � tPrvi�^rannEMit <br /> SIGNATURE:_ �_ " -- Gr�.xa .4c. <br />