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FIELD DATA SHEET <br /> WATER SAMPLE FIELD DATA SHEET <br /> PROJECT No <br /> A�Q 03_) 91- LOCATION —5 �ETEMSn lLog ) -----WELL ID <br /> CLIENT/STATION NoN FIELD TECHNICIAN T IjL wE1N� <br /> WELL INFORMATION CASING GAL <br /> Depth to Liquid TOB r~ TOC DIAMETER LINEAR FT SAMPLE TYPE <br /> Depth to water—60 XS TOB_ SIL-10. TOC 0 2 017 14 Groundwater <br /> Total depth TOB, LA rib TOC ❑ 3 038 ❑ Duplicate <br /> Date_211-10—Time (2400)fp.-5C2 ❑ 4 066 0 Extraction well <br /> E] 4 5 —� 0 83 C] Trip blank <br /> Probe Type ElOil/Water interface ❑ 5 1 02 [3 Field blank <br /> and �Efectronic indicator1 Z ❑ 6 1 5 ❑ Equipment blank <br /> I o ° ❑Other, <br /> ` ❑ a 26 ❑ other, <br /> Gal/Linear Number o Calculated <br /> TD tp_ oI1 - DTW J I x'10 = 1 o�Z x Foot ?x Casings Purge 5 .O <br /> DATE PURGED��_-R(o START._. END (2400 hr). lt,15 PURGED BY. <br /> DATE SAMPLED S1-9(o START: END(2400 hr) SAMPLED BY. <br /> TIME VOLUME pH I-C. TEMPERATURE <br /> 2400 hrl IaLZ unris umhos cm @ 2 5°C) ° F COLOR TURBIDITY ODOR <br /> •�y0,., `lis 1 _C Q� —4013 non(a <br /> I ' 3, � 0 0 <br /> .�LaL StiZ� 10,1 OU 3, �0u .,i moo nnnc <br /> b+k a too NTU ago° Stung <br /> Pumped dry Yes No ClearC) ,,,,,,- Wo�„te <br /> Ck dy M°dnate Fant <br /> FIELD MEASUREMENT AT TIME OF SAMPLE,AFTER RECHARGE eYellow <br /> Tfaca N" <br /> DTw O.3a To OC <br /> PURGING EQUIPMENT/I D # SAMPLING E UIPMENT I D. # <br /> ❑ Bader ❑ Airlift Pump Bailer <br /> Centrifugal Pump ❑ Dedicated ❑ Dedicated <br /> Other ❑ Other <br /> SAMP CNTRL H DATE TIME(2400) No of Cont. SIZE CONTAINER PRESERVE ANALYTICAL PARAMETER <br /> * REMARKS <br />