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WATER SAMPLE FIELD DATA SHEET Rev. 119 <br /> 741 OrK <br /> PROJECT NO: 2QAr-V0"01 SAMPLE ID: fUL()j— (S Y <br /> PURGED BY: ,,,3 r, CLIENT NAME: USA#65 <br /> 0 11Y 1 SAMPLED BY:_ ,L LOCATION : 2250 West Lodi Ave., Lodi <br /> ' TYPE: Groundwater v Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 co"- 3 4 4.5 6 Other <br /> ' CASING ELEVATION(feet/MSL): ✓ VOLUME IN CASING(gal.).- <br /> DEPTH <br /> gal.):DEPTH OF WELL(feet): ni. � CALCULATED PURGE(gal.): <br /> ' DEPTH TO WATER(feet): CO (;7 ACTUAL PURGE VOL.(gal,): 7. (.) <br /> DATE PURGED:_ 12 L4.2 END PURGE: 1 L{ r <br /> ' DATE SAMPLED : L— SAMPLING TIME: I L(2-4 <br /> TIME VOLUME ' pH E.C. TEMPERATURE COLOR TURBIDITY <br /> ' (2400 HR) (gal.) unrts) (pmhoskm©25%) ("F) (visual) (visual) <br /> - P -SS.6 - Z� S.-7 r�.� <br /> S- 2 arm 4 <br /> z 39 <br /> ��L. G� <br /> . OTHER: , ODOR: <br /> (COBALT 0-100) "(NTLI 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 WizardO Dedicated Well WizardO Dedicated , <br /> ' Other: Other: <br /> WELL INTEGRITY_ �.,me�' " LOCK: 6-0 <br /> ' REMARKS: <br /> PH,E.C.,Temp.Meter Calibration: Date: Time: y Meter Serial No.: <br /> E.C.1000 / pH 7 / pH 10 <br /> pH 4 / <br />' Temperature OF <br /> SIGNATURE: "-_ REVIEWED BY; PAGE LI/ OF1� <br />