Laserfiche WebLink
WATER SAMPLE FIELD DATA SHEET Rev. 1/9 <br /> 74 ✓�- <br /> `-� <br /> PR03ECT NO : - SAMPLE ID : <br /> PURGED BY : CLIENT NAME: USA#65 <br /> OWT SAMPLED BY : LOCATION : 2250 West Lodi Ave.,Lodi <br /> ' TYPE: Groundwater v Sur-face Water Leachate Other <br /> CASING DIAMETER(inches): 2 1/ur3 4 4.5 6 Other <br /> CASING ELEVATION(feet/MSL): 'rw VOLUME IN CASING(gal.): Z <br /> DEPTH OF WELL(feet): �- CALCULATED PURGE(gal.): <br /> DEPTH TO WATER(feet): U_0q ACTUAL PURGE VOL.(gal.) : •Q _ ._ <br /> DATE PURGED: -2 END PURGE: Mir <br /> ' DATE SAMPLED : SAMPLING TIME: I 4 (R9 <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> ' (2400 HR) (gal.) (units) (µmhos/cm@25°c) (°F) (visual) (visual) <br /> 401 <br /> ' OTHER: ODOR: <br /> (COBAL(0-100) {Air 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 Bailer(Teflon) 2"Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> ' x Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard6 Dedicated Well Wizard6 Dedicated <br /> Other. Other: <br /> WELL INTEGRITY: 17t LOCK: (i <br /> REMARKS: <br /> ' pH,E,C.,Temp.Meter Calibration: Date: 5t.'_ —' Time: Meter Serial No.: <br /> E.C. 1000 1 pH 7 / pH.10 ! pH 4 / <br /> ' Temperature°F <br /> SIGNATURE: REVIEWED B : PAGE OF1 <br />