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FIELD DATA SHEET <br /> ::rk3.rivc✓ oE"f� - �`w % :i c:: ;� -r." :F<�:>-•Y' -at6pr�j1'�SFY.,j,F'�,rh ii% kkl< t7'%v> <br /> - h,y,�a .„fir j(, " .(i"xL �.�� �4 i rif,�i.�f:.;;c:�f y:7•"°9r.M^e�s s/.d �t3.��r0NPi G.r"�`y"s"�"a�S <br /> WATER SAMPLE FIELD DATA SHEET <br /> PROJECT No.: s i U- of• C 4 LOCATION.J U� 1�r=' �'f• -r9Ac_Y rA WELL ID <br /> ULro•A� / cY -TC, <br /> �.. CLIENT/STATION No. : s NA i <>�Fd FIELD TECHNICIAN: <br /> WELL INFORMATIONA�SING 9AL <br /> Depth to Liquid:_ �- TOB TOC to R LIN SAMPLE <br /> Depth to water. �� TOB 9,410__ TOC ❑ Z -------- q,�7. Groundwater <br /> Total de the W-M Too (!2,4j—TOC -----------• 0 $ (3 Duplicate <br /> Date: -!--` -rime(2400): l n ❑ 4 --- ------ Q ❑ Extraction well <br /> ❑ Al ❑ Trip blank <br /> Probe Type Q Oil/Water interface ❑ Field blank <br /> aM CTElectronic indicat;r� ❑ Equipment blank <br /> I.D.0 ❑Other, Q 8 •�•-�--0C3 Other,_ <br /> Gal/Linear Number of 4Calculated <br /> TDP- DTW = 62 x Foot 1 x Casings s Purge <br /> DATE PURGED: START: 1540ENO (2400 hrk,I-CX )- PURGED BY: C.�C <br /> DATE SAMPLED: START; 1 (00L":'—ENO(2400 hr): 1 ? _,SAMPLED 6Y: C" C, <br /> TIME VOLUME pH F-C. TEMPERATURE <br /> 4 d hr Imo. nits (umhoslem 0 2 5°C 'F COLOR TURBIDITY ODOR <br /> l n a ucyd <br /> � J 53 � � •off 171 71, v <br /> Lo.-r' `6 , I `Z o'? 7v. <br /> cob"0.100 NTL!0.200 Sian <br /> Pumped dry Yes (:N�) Clow. hob , Fam <br /> 7.b. LWW Nen. <br /> FIELD MEASUREMENTS AT TIME OF SAMPLE,AFTER RECHARGE: ""■" Tram <br /> OTW: TOB/TOC <br /> PURGING EQUIPMENT/I.D. # SAMPLIN EQUIPMENIA,D. # <br /> [Bailer. CD ❑ Airlift: (Bailer - <br /> ❑'Centrifugal- ❑ Dedicated: ❑ Dedicated: <br /> ❑ Other: ❑ Other <br /> SAMPLE I.0� aM (2400) No.o_ f Cont. M !q TAIN PPESIRVE ANALYT&AL PARAMETER <br /> 4am t VOA r+� art- aA�� <br /> 5- <br /> WELL <br /> WEtL 1NTEGRfTI: l:1 Good Q Fair Q Poor <br /> �... RL-MARKS: <br /> SIGNATURE: <br />