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RELD DATA SHEET <br /> WATER SAMPLE FMD DATA SHEEP <br /> PROJECT No :CQ0 LOCATION. �EP�3mr 1 WELL ID E: <br /> CLIENT/STATION No. : ]001t0LA FIELD TECHNICIAN: <br /> WELL INFORMATION-_ CASING GA <br /> Depth to Liquid. TOB TOC DIAMETER LINEAR FT, SAMPLE TYPE <br /> Depth to water. TOB TOC ❑ 2 0.17 Croundwater <br /> Total depth TOB' Rom TOC ❑ a ---— ❑ Quplieate <br /> Date. --1- Time (2 4 DD} is s — - 066 ❑ Extraction well <br /> ❑ . •. ❑ Trip blank <br /> hobs Type ❑OIVWatee interface ❑ 102 ❑ Field blank <br /> and ®Electronic Indkator ❑ f ------ ❑ Equipment blank <br /> too.a ❑Other, ❑ ¢ --t—.- 2A ❑ Other; <br /> t <br /> Gal/Linear Number of Calc�rlale <br /> TD- - _DTW- -i- ! = 3- �� x Fool -_= a Cir x Casirxgs_ 3 _=Purge <br /> DATE PURGED: START - S7 END P400 hr) PURGED BY• <br /> DATE SAMPLED: cp- <br /> START: END(2400 hr): ILI SAMPLED BY- <br /> TIME VOLUME PK EC TEMPERATURE <br /> 2400 hr igal units urnhos cm 0 2 SOC) CD COLOR TURBIDITY ODOR <br /> awct3 , CIO a L I ­.J.2110 "*1a., moo G2L,- <br /> � <br /> Gb.t a�oa +rty n.aoo — s.� <br /> Pumped dry Yes C6W ""► .,.a..... <br /> .FIELD MEASUREMENTS AT TIME OF SAMPLE,AFTER RECHARGE: <br /> DTW:IM—TO /70 t <br /> PURGING EQUIPMENT/I.O.A SAMPLING EQUIPMENT/1 D.11 <br /> Baiter: ❑ Air3ift Pump. ®.Bailer. D753' <br /> ❑ Centrifugal P • ❑ Dedicated: ❑ Dedicated: <br /> Other C ❑ Other. <br /> g„AMP.CMRL a PAU TIME(2400) No of Cont. SIZE CONTAINER PRESLRM, ANALYTICAL PARAM <br /> REMARKS- <br /> .wcr,c <br /> SIGNATURE <br />