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' WATER SAMPLE FIELD DATA SHEET Rev. 1/9 <br /> (11472 a <br /> CK <br /> PROJECT NO <br /> SAMPLE ID: <br /> PURGED BY : ��- <br /> t CLIENT NAME: USA #65 <br /> OWT SAMPLED BY: LOCATION: 2250 West Lodi Ave.,Lodi <br /> ' TYPE: Groundwaterl Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 1/ 3 4 4.5 6 Other <br /> ' CASING ELEVATION(feet/MSL) : VOLUME IN CASING <br /> (gal,): <br /> DEPTH OF WELL(feet): CALCULATED PURGE(gal.) : ------- <br /> gal.) : .'� <br /> ' DEPTH TO WATER(feet): 35 SI ACTUAL PURGE VOL.(gat.) : 17-0 <br /> DATE PURGED: (er 15 END PURGE: Yp 2- <br /> DATE <br /> DATE SAMPLED: V SAMPLING TIME: r4 d(o <br /> TIME VOLUME ' pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 RR) (Bat') (units) (pmhos/cm@25°c)' L (°F) (visual)3� 3-0 <br /> , o Zs —63, 7 <br /> 1(40 ( Go 0 [2[ ? <br /> OTHER: � —`� <br /> ODOR: � . <br /> ' zoo)FIELD QC SAMPLES COLLECTED AT THIS WELL( i.e.FB-1,XDUP-1) : (coBa� (NM 0-2-00) <br /> ,r <br /> PURGING £ UIPMENT SAMPLING EOUIPMENT <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 PP Submersible Pump <br /> Well Wizard4 Dedicated Well WizardO Dedicated <br /> Other. Other: <br /> WELL INTEGRITY_ J _ LOCK: - <br /> REMARKS: <br />' pH,E.C.,Temp.Meter Calibration: Date: Se, g�{,,�y_ i Time: Meter Serial No.: <br /> E.C. 1000 ! pH 7 ! pH 10 / pH 4 / <br /> Temperature°F -� <br />' SIGNATURE: REVIEWED 13 PAGE OF <br />