Laserfiche WebLink
WATER SAMPLE FIELD DATA SHEET Rev. 1/7 <br /> PROJECT NO : 792065 SAMPLE ID:. _ Mij'--- <br /> PURGED BY : r CLIENT NAME: USA#65 <br /> SAMPLED BY : LOCATION : 2250 West Lodi Avenue,Lodi <br /> TYPE: Groundwater ✓ Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 ✓ 3 4 4.5 6 Other <br /> ' CASING ELEVATION(feet/MSL) : VOLUME IN CASING(gal.): <br /> DEPTH OF WELL(feet) : CALCULATED PURGE(gal.): <br /> ' DEPTH TO WATER(feet): (},{ ACTUAL PURGE VOL.(gal.): <br /> DATE PURGED: V-31 00 END PURGE : <br /> ' DATE SAMPLED: SAMPLING TIME : <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal.) (unih�o r (pmhooslc7m/c@i21%) (OFF)_ f (visual) (visual) <br /> -L� 6-06SS-1 <br /> �(- o -73- _ <br /> OTHER: ODOR:—KV-----,— <br /> V""— --- <br /> (COBALT O-100 9&TU 0.200) <br /> ' FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e. FB-I,XDUP-1): r <br /> PURGING EQUIPM,FNT SAMPLING EQUIPMENT <br /> ' 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump A Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> ' _A_Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard0 Dedicated Well Wizard6 Dedicated <br /> Other: Other: <br /> WELL INTEGRITY: LOCK: <br /> REMARKS: <br /> pH,E.C..Temp.Meter Calibration: Date: Time: Meter Serial No.: <br /> E.C. 1000 / pH 7 / pH 10P <br /> / H 4 ! <br /> Temperature OF <br /> ' SIGNATURE: REVIEWED BY. PAGE OF 2 <br />