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WATER SAMPLE FIELD DATA SHEET Rev. 1/9 <br /> PROJECT NO: 7920 SAMPLE ID: "—G <br /> PURGED BY :_ CLIENT NAME : USA#65 <br /> SAMPLED BY : L 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.): 2-,,3 <br /> DEPTH OF WELL(feet): s�{ . CALCULATED PURGE(gal.): <br /> DEPTH TO WATER(feet) : Lib :t2 ACTUAL PURGE VOL.(gal.): <br /> DATE PURGED : 3 I G END PURGE : C <br /> DATE SAMPLED :. SAMPLING TIME : <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal.) (units) (pmh !c Q25°c) OF) isual) (visual) <br /> cam _ 3u s . E <br /> 1 <br /> OTHER: ODOR: <br /> (COBALT 0-100) (Tri TU x200) <br /> ' FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e.FB-1,XDUP-1) <br /> PURGING 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 Wizardb Dedicated Well Wizard4 Dedicated <br /> Other: Other: <br /> WELL INTEGRITY: ©cAJ LOCK: <br /> REMARKS: <br /> pH,E.C..Temp.Meter Calibration: Date:..!l J ' —I Time: Meter Serial No.: <br /> E.C.1000' I pH 7 ! pH 10 / pH 4 / <br /> Temperature OF <br /> SIGNATURE: _. _ �� REVIEWED BY: PAGE OF1 <br />