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WATER SAMPLE FIELD DATA SHEET Rev. 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.): ,3 <br /> DEPTH OF WELL(feet): S' CALCULATED PURGE(gal.): C� <br /> DEPTH TO WATER(feet): �} -�� ACTUAL PURGE VOL. (gal.) :_ <br /> DATE PURGED : ��JGa END PURGE: _ 1 ql <br /> DATE SAMPLED: L SAMPLING TIME: ( (4 <br /> ' TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal.) nits) (µmhoslcm©2510 ("F) (visual) (visual) <br /> 10 (_ <br /> MOTHER: ODOR: <br /> (COBALT 0-1 o0) (NTU 0-200) <br /> ' FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e.FB-I.XDUP-1): <br /> Pjj&Q NQ EQUIPMENT SAMPLING EQUIPMENT <br /> ' 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump ��Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard6 Dedicated Well Wizard{) Dedicated <br /> Other: Other: <br /> WELL INTEGRITY: LOCK: <br /> REMARKS: <br /> pH,E.C.,Temp.Meter Calibration: Date: "uV Time: Meter Serial No.: <br /> E.C.1000 / pH 7 / pH 10 / pi-14 <br /> Temperature OF <br /> ' SIGNATURE: _ _ _ __ REVIEWED BY PAGE OF1� <br />