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WATER SAMPLE FIELD DATA SHEET Rev. 119 <br /> PROJECT NO: i920,65 SAMPLE ID : Au(/^S <br /> PURGED BY : CLIENT NAME : USA#165 <br /> SAMPLED BY : LOCATION : 2250 West Lodi Avenue,Lodi <br /> 1 TYPE: Groundwater V Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 ✓ 3 4 , 4.5 6 Other <br /> ' CASING ELEVATION(feet/MSL) : r VOLUME IN CASING(gal.): 7. <br /> DEPTH'OF WELL(feet) : CALCULATED PURGE(gal.) <br /> DEPTH TO WATER(feet): 7j9�(.�� ACTUAL PURGE VOL.(gal.) <br /> DATE PURGED: 3 I Fes? END PURGE: <br /> DATE SAMPLED: SAMPLING TIME: <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal.) units) (pmhoslcm c@25"c) (°F) (visual) (visual) <br /> ' 1 �----- �G.f ( _ - -7Y <br /> (�-L. -&1 <br /> a,(j, <br /> OTHER: ODOR: <br /> (COB 0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e.FB-I,XDUP-1) : <br /> PURGING EQ,j,JIPMENT SAMELING EQUIPMENT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump _Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> hSubmersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well WizardO Dedicated Well Wizard6 Dedicated <br /> Other: Other: <br /> 1 WELL INTEGRITY: LOCK: Qy <br /> IREMARKS: <br /> 1 I <br /> PH,E.C.,Temp.Meter Calibration: Date: ,/�[��} Time: Meter Serial No.: <br /> i E.C.1000 / pH 7 / pH 10 ! pH 4 <br /> • Temperature°F <br /> ' SIGNATURE: REVIEWED BY: PAGE OF� <br /> 1 <br />