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FIELD DATA SHEET <br /> ATER SAIvIPI i= FIELD DATA SHEET ; Ry � �'� �' ? .�»: <br /> CEO <br /> PROIECT No Co • LOCATION: �r ;P` in t WELL SDT- <br /> CLIENT/STATION No.: ICO"kca FIELD TECHNICIAN., <br /> WELL INFORMATION CASING GA <br /> i <br /> Depth to Liquid TOB '�' TQC <br /> DIAMETER LINEAR FT. SAMPLE TYPE <br /> Depth to water. n TOBZTOC ❑ 017 Groundwater <br /> Total depth TOB- 17, 0 TOC ❑ a PLO ❑ Duplicate <br /> Date;--7Z-'Z-Z_ Tune(24D0) 0 4 066 ❑ Extraction well <br /> ❑ 4 5 083 }• _ ❑ Trip blank <br /> habe Type ❑OiI/Water interface ❑ 102 ❑ Field blank <br /> and ®Electronic Indicator z ❑ 6 ----- U ❑ Equipment blank <br /> ia. ❑Other, ❑ 8 2.6 ❑ Other, <br /> t <br /> Gal/Linear Number of Calculated <br /> TD V - DTW 7, SJ3 .._= �x Foot ,late _.= Lt), x Casings _ Purge I ILi j <br /> DATE PURGED:Z 2.3 C START; IU5- END(2400 hr) 11' PURGED BY: <br /> DATE SAMPLED:Z Z3 9q START.-____L1END(2400 hr) II ` O SAMPLED BY, All <br /> TIME VOLUME pH E_C TEMPERATURE <br /> 2400 hr (gall units (umhoslcm Q 2 S"C) C-0 COLOR TURBIDITY ODOR <br /> • _���-F$ (�2� .�1,�-(� _. 1 0 �� � e^ r�.rac_� rhe. <br /> i_ i 3) -U 733- 1•�-I bo .7 CJ <br /> cb.a ciao rrry aaoo s...,� <br /> Pumped dry YesNo _ a.r ""r M-a••••• <br /> alar <br /> _ r4119- L%k w... <br /> FIELD MEASUREMENTS AT TIME OF SAMPLE,AFTER RKKARGE: T— <br /> DTyy 3 Lo TO OC <br /> PURGING E0UIPMKtffLI D.II SAMPLING EQUIPMENT/I.D IN <br /> • <br /> C3Baiter ❑ Airlift Pump. ® r: 1`Bailer 6LP <br /> ❑ CentnfugalAump ❑ Dedicated ❑ Dedicated. <br /> ® Other n - ❑ Other- <br /> AMPS CKITL 4 PAU TIME 2400 No.of Cont. SIZE CONTAINER PRESERVE ANAtyrIC&L PARAMETER <br /> REMARKS <br /> FACIA[ <br /> � <br /> L r a- <br /> SIGNATU11t- r"nrrr rot <br />