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FIELD DATA SHEET <br /> WATER SAMPLE FIELD DATA SHE �� 3' = `�. e r. %v, .;s <br /> � �i:."�.�`.�--�a?7 ''`�t'�k� ��,vr.n�Ti..�.k �:�Sc`c�—+{�"•�r-��-�y�`+.�:a.��,�Y,i. <br /> PROJECT No 139 OD ZT LOCATION. WELL ID # <br /> STac.�ron <br /> CLIENT/STATION No FIELD TECHNICIAN 19uC- <br /> F <br /> WELL INFORMATION CASING GA <br /> Depth to Liquid TO TQC DIAMETER LINEAR FT SAMPLE <br /> YPE <br /> Depth to water T 8 TOC YPE <br /> ❑ 2 0 17 Groundwater <br /> Total depth OB TOC ❑ a � ❑ Duplicate <br /> Date, G-16-24, —Ti (2400) ❑ 4 0 66raCtrorl well <br /> /inear <br /> --'--~ 1 - rip blank <br /> hone Tree ❑ Or atee interface 1 02 Field blank <br /> EI ronit:Indicattx 1L Z ❑ Equipment 61ank <br /> t o ❑ Cher, t 26 ❑ Other,— <br /> " Ga Number of Calculated <br /> TD y - DTW = x foot x Casings -Purge <br /> DATE PURGED. (,,l$9G START: END(2400 hr) PURGED BY- <br /> DATE SAMPLED: 96 START: END(2400 hr) SAMPLED BY: Aj <br /> —7Z <br /> TIME VOLUME pH I E.C. TEMPERA RE <br /> 2400 hr (ea[,} unify wnhos Cm 0 2 S•_Q ' F COLOR TURBIDITY ODOR <br /> �..6- <br /> Pumpcd dry Yes / No cs... <br /> FIELD MEASUREMENTS AT TIME OF SAMPLE,AFTER RECHARGE: <br /> DTW. TOBfrOC <br /> ?URGING G EO MHYI ! D. ,, SAMPLING UIP ENT I D. N <br /> ❑ Bailer [) Airlift Pump- ❑ Sailer <br /> ❑ Centr gal Pump• ❑ Dedicated ❑ per, <br /> ❑ r ❑ Other <br /> SAM P CNtRL R PM TIME(2400) tato of Co L (ZE CONTAINER RESERVE ANALYTICAL PARAM R <br /> REMARKS - <br /> rn�l.0 <br /> SIGNATURE <br />