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WATER SAMPLE FIELD DATA SHEET Rev. 1/9 <br /> PROJECT NO: 2OA41-008.4101 SAMPLE ID <br /> PURGED BY : CLIENT NAME: USA 1$65 ~ <br /> OWT SAMPLED BY : LOCATION: 2250 West Lodi Ave.,Lodi <br /> TYPE: Groundwater----L,,- Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 ' 3 4 4.5 6 Other <br /> CASING ELEVATION(feet/MSL); VOLUME IN CASING(gat.): <br /> DEPTH OF WELL(feet): CALCULATED PURGE(gat.)-. <br /> DEPTH TO WATER(feet): 5�. ACTUAL PURGE VOL.(gat.): <br /> DATE PURGED: �9 END PURGE: <br /> DATE SAMPLED: SAMPLING TIME: lZ� <br /> TIME VOLUME ' pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal.) (units) (µmhos/cm cs 25°c) (°F) (visual) (visual) <br /> OTHER: ODOR: y _ <br /> . (COBALT 0-1110) (NM 0-240) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL( i.e.FB-I,XDUP-I) <br /> PURGING EQUIPMENT_ SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump Hailer(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 Wizard6 Dedicated <br /> Other: Other: <br /> WELL INTEGRITY: LOCK: <br /> REMARKS: <br /> pH,E.C.,Temp.Meter Calibration: Date: ' `^^' Time: Meter Serial No.: <br /> E.C. 1400 / pH 7 / pH 14 / pH 4 ! <br /> Temperature'F <br /> SIGNATURE: REVIEWED BY: FAGE OF <br />