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' WATER SAMPLE FIELD DATA SHEET Rev. 119 <br /> PROJECT NO: -71W- 1 , SAMPLE ID: �"' <br /> PURGED BY : CLIENT NAME: USA##65 <br /> O SAMPLED BY : �/ LOCATION: 2254 West Lodi Ave.,Lodi <br /> lIY 1 <br /> ' TYPE: Groundwater '� Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 t/ 3 4 4.5 6 Other <br /> CASING ELEVATION(feet/MSL) VOLUME IN CASING(gat.): _ C <br /> DEPTH OF WELL(feet): CALCULATED PURGE(gal.) <br /> ' DEPTH TO WATER(feet):- • Q. (g ACTUAL PURGE VOL. (gal.):.w ( ( , <br /> DATE PURGED : Z b 4 rC END PURGE : 13W <br /> DATE SAMPLED: SAMPLING TIME :. 1 Tz-x5-- _ <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> ' (2400 <br /> (3 M (gal.) (units) (pmhoslcrnQ250c) ff) (visual) (visual) <br /> 1 . <br /> OTHER: ODOR: 1 <br /> (COBALT 100) (> TQ D-200) <br /> ' FIELD QC SAMPLES COLLECTED AT THIS WELL{i.e.FB-l.XDUP-Ij <br /> ' PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> ' Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well WizardO Dedicated Well WizardO Dedicated <br /> 011ier: Other: � Qn <br /> WELL INTEGRITY: "• LOCK: <br /> ' REMARKS: <br /> ' pH.E ., mp.Meter Calibration: Date: rq Time. �3Q7 Meter Serial No.'' <br /> E.C. �YQ° ,3 pH 7._ 7.cx3 pH 14 IO.OG 1 ID•OG pH 4�r-l. <br /> Temperature°F Ca <br /> • SIGNATURE: REVIEWED PAGE �OF� <br />