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WATER SAMPLE FIELD DATA SHEET Rev. 119 <br /> F&V <br /> ZaiPROJECTNO: SAMPLE ID: � cLi PURGED BY : CLIENT NAME : USA 1165 <br /> OV 1 SAMPLED BY : LOCATION : 2250 West Lodi Ave., 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: (z L!4 5'S END PURGE : 13142 •� <br /> DATE SAMPLED:' L SAMPLING TIME: (��_ TEMPERATURE. COLOR T <br /> TIME VOLUME pH E.C. URBIDITY <br /> ' (2400 HR) (gal.) units) (pmhos/cmr@i25°c) ("F) (visual) (visual) <br /> 134 6 � Lf o 310 f <br /> 1 ,54 7 .0 -4{ <br /> 1 <br /> OTHER: "" ODOR: VL04- f <br /> (CORAL -100) (SIT' U 0-200) <br /> • FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e.FB-1.XDUP-1) <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 Wizard0 Dedicated Well Wizard0 Dedicated <br /> Other. Other: 12/5 y2 <br /> WELL INTEGRITY: C ��� LOCK: �- <br /> ' REMARKS: <br /> ' pH,E.C.,Temp.Meter Calibration: Date: S -J Time: Meter Serial No.: <br /> E.C.1000 1 pH 7 ! pH 10 / pH 4 1 <br /> Temperature OF <br /> SIGNATURE: REVIEWED SY. PAGE OF�� <br /> • <br /> 1 <br />