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FIELD DATA SHEET <br /> WATER SAMPLE F=IELD DATA SHEETt�' r'" `' ��� <br /> 'f .kE�e> ;'+'S�7'�F�'Sif�.�..�eT�`•L�'�,~,r.fLX�i� t�K a� r�*s�� <br /> PROJECT No :.� QC)Z LOCATION. LiETIfinq I WELL it) <br /> CLIENT/STATION No. : FIELD TECHNICIAN.• <br /> WELL INFORMATION-_ CASING CA <br /> Depth to Liquid TOB .., TQ[ DIAMETER LINEAR Ff. AMPLE TYPE <br /> Depth io water `l TOB._ 161 TOC ❑ Z QJLZ Groundwater . <br /> Total depth TOB- 37M i'OC ❑ .1 038 ❑ qupltcate <br /> Date. --1- T+me(2400r ® :1 066 ❑ Extraction well <br /> ❑ 4l = %:. a ❑ Trip blank <br /> Probe Type Cl OiVWatef interface ❑ 5- 702 ❑ Field blank <br /> and ®Electronic lndicator ❑ ! !A _ ❑ Equlpment biank <br /> uD.e ❑Other, <br /> GaVLin �r Number of Calculate <br /> ji <br /> TDr�, �- -D-(W ���= Z-3 x Foot!` 2__ �x Casings 3 r Purge3 <br /> OA E PURGED: START • Z ENO X2400 hr): I PURGED BY: <br /> DATE SAMPLED: START: •'� • ENo(2400 hr). SAMPLED BY: <br /> TIME VOLUME pet EG TEMPERATURE <br /> 2400 hr jgal- units Lurnhos/rm® 2 S'Cy;i (' F x COLORTUR$IDi7Y ODOR <br /> VS 0 Man <br /> �4v o•0 2$ oo <br /> _J <br /> Pumped dry Yes /a <br /> -FIt:LD MEASUREJM T TIME OF SAMPLE,AFTER RECHARGE- <br /> DTw: j,'14 TO /TO <br /> PURGINGEQUIPMWT&D. A SAMPLING EQUIPMENT/I O N <br /> ❑ Bailer [] Airlift Pump ® -8aller: l 73? <br /> ❑ CenrrdugaI P,�r►p• ❑_Dedicated (:]_Dedicated: <br /> Other - TA ❑ Other. _ <br /> $AMP.CNTRL R DA TIME(2400) No.of Cont S. 7- CONTAINERR�ERVE ANALYTICAL PARAMETE <br /> 9 48 <br /> R EMA R KS <br /> .Acnc <br /> 51GNATURC � twwrcr.w.t�n.� <br />