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i <br /> FIELD DATA SHEET <br /> WATER SAMPLE FIELD DATA SHEET • ` - .1 <br /> .x•' :sti` rr1x7 �Rf�. �.z <br /> C20 c oz lie <br /> PROJECT No :- .... LOCATION. IEFM I�� WELL lD a: <br /> a <br /> CU ENT/STATIONNa.: FIELD TKHNICIAN. V�- way H <br /> WELL INFORMATION- CASING GA <br /> +tkDIAMETER LI_NFAR FI: <br /> Depth to Liquid. T08 TQC - SAMPLE TYPE <br /> Depth to water T08� 7�pC 112 01 (� Crnundwater . <br /> Total depth- T08' Z3 Go TOC ❑ .1 038 Cl duplicate <br /> Date: --1- Time (24DD}:• 0' 4 0 ❑ Extra <br /> Ctipn well <br /> - ❑ --- � . - . =. ❑ Trip blank ` <br /> probe Type ❑OiVWatee interface 1122, ❑ Field blank <br /> •^d ®Electronic indicator Z ❑ ! .---- 5 ❑ Equipment blank <br /> t.�.r ❑Other Q 0 Other;. <br /> . <br /> � Q Gal/Lin t Number of Calcula�,, <br /> TD - .DTW �J CJ1 _ �l� .19 _x moot �e l�3 x ['asir�8�s- �=Forge <br /> DATE PURGED---LA- START- �+ END(2400 hr) 8:00 PURGED BY. <br /> DATE SAMPLED: 1 START:'OCA .END{2400 hr} 2:5 SAMPLED By- <br /> TIME VOLUME P" EG TEMPERATURE <br /> 2400 Isr i (units) (umhos/crn 0 2 S•Cf ((' F COLOR TURBIDITY O_ DOR <br /> ?3<D- ?�1 1,ot�o C —ywdl ,... rione <br /> Cao— - <br /> -- - <br /> Pumped dry YtS N - <br /> CL-* <br /> FIELD MEASUREMENTS AT TIME OF SAMPLE,AFTER RECHARGE <br /> F --- r <br /> DTW-. TOB/rOC <br /> PURGING EQUIPMENT/I.D.i SAMPLING UIPMUNrr 1.().N <br /> ❑ Bader [] Airlift Pump ® -Bailer; 'D133? <br /> ❑ Centrifugal P,�rr�: ❑ Dedicated: (] Dedicated: <br /> -� ❑ Other. <br /> SAMP.CNTRL f PATI TIME!2406 No of Cont_ tZ CONTAINER PRESERVE, ANALYTICAL PARAMETER <br /> vo <br /> 1 T !V <br /> xm- <br /> REMARKS• <br /> W)C <br /> Cric <br /> 51GNATURC � eNrN �ce+..t'eot <br />