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WATER SAMPLE FIELD DATA SHEET Re�. 119 <br /> PROJECT NO: 792065 SAMPLE ID : <br /> ' PURGED BY : CLIENT NAME : USA#65 <br /> SAMPLED BY : LOCATION : 2250 West Lodi Avenue,Lodi <br /> ' TYPE: Groundwater Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 `� 3 4 4.5 6 Other <br /> ' CASING ELEVATION(feet/MSL): VOLUME IN CASING(gal.): <br /> DEPTH OF WELL(feet) :_ _ ,� CALCULATED PURGE(gal.) : <br /> DEPTH TO WATER(feet): 72_{per rt ACTUAL PURGE VOL. (gal.): (0 —0 <br /> DATE PURGED: END PURGE: 2(„ <br /> ' DATE SAMPLED ; SAMPLING TIME: <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> ' (2404 HR) ( ( (µmhos/ ) �< <br /> r (visual) {visual) <br /> . <br /> OTHER: ODOR: <br /> (COBALT 0.100) (NTU 0.244) <br /> ' FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e.FB-I,XDUP-1) : <br /> FjjRQING EQUIPMENT SAMPLING,EQUIPMFNT <br /> 2"Bladder Pump Baiter(Teflon) 2"Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> �r Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard6 Dedicated Well WizardO Dedicated <br /> Other: Other: <br /> WELL INTEGRITY: LOCK: <br /> ' REMARKS: <br /> ' pH.E.C.,Temp.Meter Calibration: Date:� r` Time: Meter Serial No.: <br /> E.C.1000 1 pH 7 1 pH 10 1 pH 4 t <br /> Temperature°F <br /> SIGNATURE: REVIEWED BY: PAGE OF <br />