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t-ICL_U UA I A 5tltt I <br /> WATER SAMPLE FIELD DATA SHEET <br /> rl . <br /> PROTECT Na - f�d 43 Z� LOCATION. � 1 a n`3� LOQ- WELL ID #: <br /> • CLIENT/STATION No. _ IJFIELD TECHNICIAN <br /> WELL INFORMATION CASING GAL <br /> Depth to Liquid — TOS — TOC DIAMETER LINEAR IFT SAMPLE TYPE <br /> Depth to water \,a\ TOB S9 Zi TOC 9 2 017 Groundwater <br /> Total depth TOB kcl Q\a TOC ❑ 3 038 ❑ Duplicate <br /> Date r Time(2400) 13 ❑ 4 066 Extraction well <br /> ❑ 4 5 --- 083 ❑ Trip blank <br /> Probe Type ❑ OII/Water Interface ❑ S_ 1 02 ❑ Field blank <br /> and ER-Electronic Indicator. �Z Equipment <br /> ID N ❑ 6 i 5 ❑ E ul ment blank <br /> ❑Other, ❑ 8 26 ❑ Other, <br /> TD 01 a� _ Gal/Linear Number of Calculated <br /> DTW � = t7r/� x Foot ,/ = 7Z x Casings ; Purge ,/ <br /> DATE PURGED 2 ����o START._ A9 t13 END (2400 hr) ID S13—PURGED BY <br /> DATE SAMPLED Z•�� •qty START- f0- Q END (2400 hr) /l Cb SAMPLED BYAo <br /> - <br /> TIME VOLUME pH E_C. TEMPERATURE <br /> 2400 hr a[ FCCOLOR TURBIDITY ODOR <br /> 7.)c) l` 170 .Z 1 <br /> • �0: 3�� 763 <br /> o+ sz �'zJ 705 <br /> 133o �J, n � <br /> cob-k0.100 NW 0400 Saone <br /> Pumped dry YesNo Oem +1__r MdW�e <br /> cte,ay Mederre Fame <br /> yellow LF& Nene <br /> FIELD M//E,^ASUREMENT AT TIME OF SAMPLE,AFTER RECHARGE. ^ T� <br /> DTW ('00197TOB <br /> OC <br /> PURGING E U_IPMENTA.D. # SAMPLING EQUIPMEWILD 4 <br /> ❑ Bailer ❑ Airlift Pump C3'Baller z 3 <br /> ❑ Centrifugal Pump ❑ Dedicated ❑ Dedicated <br /> [� Other LQ a 1 ❑ Other <br /> SAMP CN-ML# DATE TIME(2404) No of Cont SIZE CONTAINER PRESERVE ANALY3ICAL PARAMETER <br /> REMARKS <br /> PACIFIC <br /> �rxxQ svC <br /> SIGNAI URC ` QMµ <br />