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HELD DATA SHEET <br /> WATER SAMPLE FIELD DATA SHEET t � � � _�f��'���r��r r=*" •..- -� Y• �`+' s �,;�;� I <br /> PROJECT Na Z LOCATION- WELL ID g, r,1,� +Cis <br /> ' CLIENT/STATION No - FIELD TECHNICIAN 73� �n <br /> r WELL INFORMATION CASING GA <br /> ' Depth to Liquid r TOB �J TQC DIAMETER LINEAR FT. SAMP` tYPE <br /> Depth to water TOB (�S aD TOC ❑ 2 017 ® Cround-ater _ <br /> Total depth TOB9 2713 TOC ❑ 3 038 ❑ Duplicate <br /> ' Date_5• Z\".9� Time(2400) � 1 O {� 4 066 ❑ t_xtract(on well <br /> ❑ 4 5 -- 0 83 - ❑ Trip blank <br /> Probe Type ❑OiI/Water interface ❑ 5 1 02 ❑ Field blank <br /> ' •nd Electronic Indicator <br /> t.o r ❑ b 1 S El Equipment blank <br /> ❑Other, ❑ g 26 ❑ Other, <br /> l <br /> Gal/Linear Number of Calculated <br /> TO DTW x Foot• �=y ( x Casings 3 r Purge_j Ca.43 <br /> DATE PURGED 5 ?L ')B START: »•1� ENO(2400 hr) ��% ,(. PURGEDBY:- PWi <br /> DATE SAMPLED 9 START 10'Z(. END(2400 hr} 10'3 3 SAMPLED BY, <br /> ' TIME VOLUME pH EG TEMPERATURE <br /> 2400 hr (gaa units (urnhos/cm 0 2 SOO ( F) COLOR TURBIDITY ODOR <br /> 3(o s "7-3u Z.v!0D <br /> Pumped dry Yes No a,� �--r r,..d— <br /> ' r.r.. <br /> Yil4r+ <br /> FIELD MEASUREMENTS AT TIME OF SAMPLE,AFTER RECttARGE <br /> DTW \O 1 TOBITOCI <br /> PURGING EQUIPMENT/I/I D # SAMPLING EQUIPMENT/I D # <br /> ❑ Bader ❑ Airlift Pump fE Bailer 066 <br /> ' ❑ Cenirtfug� Y1 <br /> Pump ❑ Dedicated _ ❑ Dedicated <br /> ® Other ZZy0FC5 ❑ Other <br /> SAMP CNTRL N DATE TIME(2440) No of Cont SIZE CONTAINER PRESERVE ANALYTICAL PARAMETER <br /> Zig 1313 lo. _ _ 410t VDA CL CIA5c <br /> Z L r7- /VP <br /> REMARKS <br /> --' - -- PAL.rL <br />