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FIELD DATA SHEET <br /> WATER SAMPLE FIELD DATA SHEET <br /> '130 X31 n <br /> PROJECT No LOCATION z92D��ar-rslel 4O�T V fZ WELL ID <br /> • CU ENT/STATION No. : FIELD TECHNICIAN W tri <br /> WELL 1NFORMA ON CASING GA <br /> Depth to Liquid —- - TOB TpC DIAMETER LINEAR FT. SAMPLE TYPE <br /> Depth to water TOB TOC E] 2 017 Groundwater <br /> Tata[depth^ TOB' TOC ❑ 038 Duplicate <br /> Date. g acq(" Ime(2400) ❑ 4 0 66rT�Ipl <br /> ractlon well <br /> 114 5 0- blank <br /> Probe Type Cl OIVWater interface Z ❑ 5 1 02 Field blank <br /> IJD electronic Indicator q`en/ ❑ 1� ❑ Equipment blank <br /> ❑Other, Z t ❑ 8 2¢ ❑ Other, <br /> 11 <br /> Gal/Linear Number of Calculated <br /> TO - DTW - x Foot - x Casings— �r Purge <br /> DATE PURGED: START- END (2400 hr) PURGED BY: w <br /> DATE SAMPLED. START: END (2400 hr) 71 SAMPLED BY: 1fet) <br /> TIME VOLUME pH E.C. TEMPERATURE <br /> 2400 hr (,gs� units umhos cm 0 2 5'C) (LO COLOR MR D1T <br /> IY ODOR <br /> i <br /> Pumped dry Yes / No a.0.iOQ .rsvoioo <br /> FIELD MEASUREMEt fTS AT TIME OF SAMPLE,AFTER RECHARGE: U4& <br /> DTW TOB/TOC <br /> PURGING EQUIPM I.D. SAMPLING UIPMENT I O • <br /> ❑ Baiter ❑ Airlift Pump- ❑.Bailer. <br /> ❑ Centrifugal Pu -0 Dedicated ❑ Dedicated <br /> C] Other- ❑ C>ther <br /> $A11.SP.CNTRL DATE TIME 2400 Na of Cont SIZE CONTAINER RESERVE ANALYTICAL PARAMETER <br /> ALI <br /> REMARKS <br /> PACC.0 <br /> SIGNATURE <br /> r�ryr <br />