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FIELD DATA SHEET <br /> WATER SAMPLE FIELD DATA SHEET ' <br /> rA <br /> PROJECT No � Z`r LOCATION- Z OP, —\ WELL ID <br /> IRLIENT/STATION No _ FIELD TECHNICIAN 1� <br /> r_ <br /> WELL INFORMATION CASING GAL <br /> Depth to Liquid TOB TOC DIAMETER LINEAR FT SAMPLE ryPE <br /> Depth to water TOB TOC ❑ 2 017 Groundwater <br /> Total depth TOB TOC ❑ 3 038 Duplicate <br /> 3�� Time (2 0} ❑ 4E,— <br /> Date066 Extraction well <br /> ❑ 4—S 083 rip blank <br /> Probe Type ElOrl/Water interface ❑ S 1 OZ LJ Field blank <br /> and RElectronic indicato Z_ _ ❑ _ 1 5 'EJEquipment blank <br /> 10 1 El Other, — <br /> ❑ 8 26 -❑ Other,_ <br /> Gal/Linear Number of - Calculated <br /> TO - DTW = x Foot = x Casings 3 = Purge <br /> DATE PURGED. START. END (2400 hr) PURGED BY. IKU <br /> DATE SAMPLED- START- END(2400 hr SAMPLED BY_:Lj <br /> TIME VOLUME pH E.C- TEMPERATURE <br /> 2400hr �ga1 Z units (umhos/cm Q 2 5°C) ' F COLOR TURBIDITY ODOR <br /> Pumped dry Yes / No C�ito-soo ,rruo,zoo <br /> C6-dr trbderats Fau.l <br /> FIELD MEASUREMENTS AT TIME OF SAMPLE,AFTER RECHARGE: Y T <br /> DTW: TOBITOC <br /> PURGING UIPM NT I D. # SAMPLING IPMENT 1 D. # <br /> ❑ Bailer ❑ Airlift Pump Bailer <br /> R Centrifugal P p [) Dedicated E] Dedi ated <br /> or <br /> C3 Other [❑ Other <br /> SAMP CWRL# DATE TIME(2400) No,of Cont. SIZE CONTAINER PRESERVE ANALYTICAL PARAMETER <br /> REMARKS <br /> PACnC <br /> r,r,-kCrrtwi <br /> rv'�e PAC <br />