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' WATER SAMPLE FIELD DATA SHEET Rev. 1/9 <br /> PROJECT NO: 20A41-008.001 SAMPLE ID:— <br /> /tit w_3 <br /> PURGED BY :_ T. ,f r CLIENT NAME : USA#65 <br /> OWT SAMPLED BY : ,K LOCATION : 2250 West Lodi Ave.,Lodi <br /> ' TYPE: Groundwater i/ Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 ✓ 3 4 4.5 6 Other <br /> CASING ELEVATION(feet/MSI-): VOLUME INCASING(gal.): .� <br /> DEPTH OF WELL(feet) : CALCULATED PURGE(gal.): 2 <br /> ' DEPTH TO WATER(feet) :— ACTUAL PURGE VOL. (gal.): <br /> DATE PURGED: Iq e END PURGE: <br /> ' DATE SAMPLED: 6L SAMPLING TIME: <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal.) its) (pmhos/cmu@25°c) ("F) uaf <br /> 1I— A 4 ,0 �jrrn-7(0 G� 65. ) (visual) <br /> 1410 75 C8 --7 <br /> OTHER: - % ODOR: <br /> (COBAL 0-100) (IV' TU 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 Hailer(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 Wizard6 Dedicated Well Wizardd Dedicated <br /> ' Other: Other: <br /> WELL INTEGRITY_ - - LOCK:_.._. ,rn e <br /> ' REMARKS: <br /> pH,E.C.,Temp.Meter Calibration: Date: —, Time: Meter Serial No.: <br /> E.C. 1000 / pH 7 / pH 10 ! <br /> pH 4 ! <br /> ' Temperature OF <br /> SIGNATURE:_ �` REVIEWED B PAGE �5 OF� <br />