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S GROUNDWATER SAMPLE FIELD DATA SHEET ISI <br /> 1n <br /> PROJECT NO 020105306 0601 WELL!D 411, <br /> CLIENT/STA ION # ARCOI 0 0434 ADDRESS 501 W Kettleman Lodi <br /> DATE Z 2 <br /> CASING DIAMETER (Inches) 3 4 45 5 6 8 12 Other <br /> (CIRCLE awl) �— — <br /> GALLONSlLINEAR FOOTC 0 17 038 066 ,Q 0 83 1 02 1 5 26 58 Other <br /> TD—/ 7,4-c I—DTW E'L ' J �'� X GALLONS- X CASING CALCULATED ACTUAL <br /> WATER LINEAR FIF 1 CASING VOLUMES PURGE PURGE <br /> COLUMN VOLUME } <br /> DATE PURGED 22 START 2400 Hr �� <br /> ( } � END (2400 Hr) <br /> DATE SAMPLED Z- START (2400 Hr) END (2400 Hr) U <br /> TIME VOLIUME PH ED TEWERATUR COLOR IIJABIDITY <br /> f2400 f9 fOr �l {ern oslrars E <br /> Lf G 17 <br /> iFIELD OC SAMPLES COLLECTED AT THIS WELL(I is FB-1, XDUP-1) jM <br /> P11RC m E.SWUMT •SANIFILM FQUW"IENT <br /> 2 Bladder Pump Bader(Teflond! 2 Bladder Pump Hader(Teflorwl!i) <br /> Centntugal Pump Bader(PVC) DOL Sampler Beller(Stainless Steel) <br /> Submerarble Pump Bader(Slamleas Dipper Submersible Pump <br /> Stool) <br /> Vac Truck <br /> Dedicated Bader Disposabie Dedicaled <br /> Other Other <br /> WATER COLUMN X .80 80%RECHARGE TD 80%RECHARGE ) SAMPLE DEPTH <br /> REMARKS <br /> COMPLETED BY (PRINT NAME) / '+ S o" SIGNATUR <br /> REVIEWED BY DATE Z3 <br /> PAGE -� OF�'� <br />