Laserfiche WebLink
r . . <br /> WATER SAMPLE FIELD DATA SHEET Rev. 119 <br /> PROJECT NO : 792065 SAMPLE ID : 5 --7' <br /> PURGED BY : CLIENT NAME : USA 465 <br /> SAMPLED BY : LOCATION :.2250 West Lodi Avenue,Lodi <br /> TYPE: Groundwater Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 3 X 4 4.5 6 Other <br /> CASING ELEVATION(feet/MSL) : VOLUME IN CASING(gal.): <br /> DEPTH OF WELL(feet): 7 CALCULATED PURGE(gal.): <br /> DEPTH TO WATER(feet):_ 'jr'j +!� ACTUAL PURGE VOL.(gal.):—:2� -- <br /> I <br /> DATE PURGED : END PURGE : ��Z7 <br /> DATE SAMPLED: SAMPLING TIME : <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal.) (units) (pmh0s/cm025°c) (°F) (visual) (visual) <br /> t <br /> G� U . <br /> r <br /> OTHER: _ ODOR: <br /> (COBALT 0-100) 0-200) <br /> 1 FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e.FB-'1,XDUP-1): <br /> PURGING EQUIPMENT SAMPLING EQUIPMLNI <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 WizardO Dedicated Well Wizard6 Dedicated <br /> Other: Other: <br /> ' 1 <br /> WELL INTEGRITY: LOCK: C <br /> REMARKS: <br /> PH,E.C.,Temp.Meter Calibration: Date: �gk Time: Meter Serial No.: <br /> E.C. 1000 / pH 7 ! pH 10 1 pH 4 I <br /> Temperature OF <br /> SIGNATURE: REVIEWED B)CZ PAGE OF <br /> r <br />