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FIELD DATATSHEET , <br /> WATER SAMPLE FIELD DATA SHEET <br /> F <br /> PROJECT No " 1 LOCATION. � ml��� WELL iD O: <br /> MQ <br /> rr �I � <br /> CLIENT/STATION No. : ._ ��iQz FIELD TKHNICIAN: <br /> WELL INFORMATION CASING PAY <br /> Depth to Liquid TOB DIAMETER LINEAR FT.Y. TpC SAMPLE TypE <br /> Depth to water- TOB •n'O TOC ❑ 2 0.17 ® Groundwater <br /> Total dept TOB—�1q.,0 TOC ❑ 3 Q,�$ ❑ duplic=ate <br /> Date - Time (2400}: 4 0 66 <br /> - - - ❑ Extraction well <br /> ❑ 11 M w• =." ❑ Trip blank <br /> Probe Type ❑OtWVater interface ❑ L92 ❑ Field blank <br /> and ®Electronic Indicator ❑ - 1A _ ❑ Equipment blank <br /> IA e ❑Other. ❑ 2,¢ ❑ Other,_ <br /> t <br /> �-+ Gal/lin �ar r . i Number of Calculate/�j <br /> TO 1q00 - DTW J•O �'O x Foot •titr •�`( x Casiogs `,�Purge-� ._6- <br /> z 1 q <br /> DATE PURGED: START: 17i 17- END(2400 hr) r PURGED By- <br /> DATE SAMPLED, 6 I r START; Z EI D(2400 hr). SAMPLED BY: W <br /> TIME VOLUME PH E.C. TEMPERATURE <br /> 2400 hr) -2 11-1 units umhos c_m ® 2 S'C) ( ,F coLOR TURBIDI Y ODOR <br /> . 1L j a 7 3 C) 7o l T_r_ �t,a_ rnu —. • <br /> ?� -oT = 9 7v WGA 1 4 �_ - - <br /> c a—k Nav aim <br /> Pumped dry Yes _ _o..._ F%.T <br /> . C6--*, <br /> ! vfp. <br /> .FIELD MEASUREMENTS AT TIME OF SAMPLE,AFTER RECHARGE ...... v4% <br /> DTw �"? TO8 OC <br /> PURGING EQUIPMgffL1 D. N SAMPLING_C�UIPMENT/I D It <br /> ❑ Bailer [] Airlift Pump ® Balser: ?3,p -' <br /> ❑_Centnfugal " C]�Ded�cated Cl-Dedicated.— <br /> other_-- C-79Unnfb'�S - - _ ❑ Other - <br /> - SAMPl RR DnATE TIME(24001 tato of ConL SIZE CONTAINt R�ERVE NAtYTICAL <br /> PARAMETER- <br /> 9. 8 ami 1/0 <br /> OF <br /> Ir ivP <br /> -� � <br /> r jesel <br /> REMARKS <br /> .,Cr,c <br /> SIGNATt,Rc <br />