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HELD DATA SHEET <br /> �WATER SAMPLE FIELD DATA SHEET 4v %'NUM ��'�` ,;�>n;���� <br /> PROJECT No -.#--�,920 CQZnNLOCATION: IETR11>7� WELL ID <br /> 11 <br /> CLIENT/STATION No. : FIELD TECHNICIAN: - i N H <br /> WELL INFORMATION- _ CASING CACI.( <br /> Depth to Liquid TOB - r`s —TQC DIAMETER LINEAR FT. AMPLE 1^ypE <br /> Depth to water. - TOB_ SS TOC ❑ 2 0.17 ® Groundwater <br /> Total depth: TOB- 5D.0 OC ❑ 1 QM ❑ duplicate <br /> Date: --1- T1me (2400)= Q 4 L] Extraction well <br /> ❑ - p, �:. _ •. ❑ Trip blank <br /> hotx Type ❑OiUWatee interface ❑ 1&2 ❑ Field blank <br /> and ®Electronic indicator ❑ f A . . ❑ Equlpment blank <br /> I.D.a ❑Other, 0 2.fi ❑ Other," <br /> I <br /> Gal/Linear Number of Calculated <br /> TD - DTW -- = Z}y,�x Foot_ x Cas'Ov Purge— �-�� <br /> DATE PURGED: START_ END (240o hrk << PURGED 8Y• <br /> 00 i <br /> DATE SAMPLED. START: -END(2400 hr)- <br /> SAMPLED BY; <br /> TIME VOLUME pH E.C. TEMPERATURE <br /> 2400 hr S" (units) (umlios/cm 0 2 S!Q COLOR IDI Y ODOR <br /> 7,0,0 � _ 1-GOD -71 Glow tnofl ap <br /> 040 <br /> crs.►aiao Ktv o�oe s-..,� <br /> Pumped dry _Yes_/ _ <br /> _ YY d6* i;.dN� f•M <br /> FIELD MEASUREMENTS AT TIME OF SAMPLE,AFTER RECHARGE: +�-+ * ` <br /> DTW: .-I TOB <br /> PURGING EQUIPMENT/).D, a - SAMPLING ESUIPMEM/i D M <br /> ❑ Bailer. ❑ AN&Pump: .Bailer, ]`7133? <br /> ❑ Centrifugal Pf�f!�P _ _ ❑ Dedicated ❑Dedicated: - <br /> ❑ Other. --- - - — — <br /> SAA4P+CMRL R PAIQE TIME(2400) No of Cont, $IZE CONTAINER F&UE_R_Vj, ANALYTICAL PARAMM <br /> rr n�P <br /> R EMA R KS <br /> �„crC <br /> i.,Nf.Gw+t+M•� <br /> SIGNATURt. rnrtr r.L <br />