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riCL-u uh+1 H OnCG 1 <br /> WATER SAMPLE FIELD DATA SHEET Y"<w; <br /> PROJECT No CtL� C 3 Z LOCATION. I _ cot WELL ID # <br /> CLIENT/STATION No. : CI3�_j FIELD TECHNICIAN 2n"­ <br /> WELL <br /> INFORMATION CASING GAL <br /> Depth to Liquid TOB T TOC DIAMETER LINEAR FT SAMPLE TYPE <br /> Depth to water (11 `41 TOB GO i}1" TOC ® 2 1 017 Q Groundwater <br /> Total depth TOB (, 110 TOC ❑ 3 038 ❑ Duplicate <br /> Date_L_,%, Time(2400) 13 m ❑ 4 066 ❑ Extraction well <br /> ❑ 45 083 ❑ Trip blank <br /> Probe Type ❑ Oil/Water interface L 5 1 02 ❑ Field blank <br /> and 0 Electronic indicator. �� ❑ 6 1 S ❑ Equipment blank <br /> ID I ❑Other, <br /> ❑ 8 26 ❑ Other, <br /> TD 8 l) - DTW ' ' + .1 x Foot near L.1 q Z x CasinNumbgs of 3 PurCalcge__ <br /> _� __ � ��.= g B 3.2 <br /> f3 <br /> DATE PURGED START � END (2400 hr). D PURGED BY <br /> DATE SAMPLED °Il,, START -1(� END(2400 hr) ),/U SAMPLED BY <br /> TIME VOLUME pH E.C. TEMPERATURE <br /> 2400 hr in-1.1 units (umhosfcm 2 5°C) ° F COLOR TURBIDITY ODOR <br /> Io. 13 nah� <br /> v. 21D t3zLOD3• �. 1j, <br /> A �3�7� � ) b 1u 3 I�w,, �4 <br /> cobah 0.1oo MV o-zoo SQQ g <br /> Pumped dry Yes / No cku �—Y wwd�"* <br /> ct_,ay ,&r" r," <br /> ght <br /> FIELD MEASUREMENTS AT TIME OF SAMPLE,AFTER RECHARGE. recb.. <br /> sem.,., spm <br /> a <br /> DTW ,Z- TO /TOC <br /> f <br /> PURGING EQUIPMENT/[ D. # SAMPLING EQUIPMENT&D # <br /> ❑ Bailer ❑ Airlift Pump [ ader r <br /> ❑ Centrifugal Pump [] Dedicated ❑ Dedicated <br /> Other V ❑ Other <br /> SAMP CNT12L DATE TIME(2400) No of Cont SIZE CONTAINER PRESERVE ANALYTICAL PARAMETER <br /> �u z� z,,,;19A& 3 40",- V6 r� cvri <br /> REMARKS <br /> PACPC <br /> SIGNATURE ` `% r �r� <br /> r� c <br /> � <br />