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1 WATER SAMPLE FIELD DATA SHEET Rev. 119 <br /> lam <br /> `7ti-zaG� <br /> M PROJECT NO: 20A+1-008-401 SAMPLE ID.–LAW— <br /> PURGED <br /> AW— 7 <br /> PURGED BY: t (tittC.0 CLIENT NAME: USA#165 <br /> OWT SAMPLED BY : LOCATION : 2250 West Lodi Ave.,Lodi <br /> 1 TYPE: Groundwater Lo-- Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 ✓ 3 4 4.5 6 Other <br /> CASING ELEVATION(feet/MSL) : VOLUME IN CASING(gat.) : 2 _ <br /> DEPTH OF WELL(feet) :_ �$, CALCULATED PURGE(gal.): <br /> 1 DEPTH TO WATER(feet) : Li Z ACTUAL PURGE VOL.(gal.): <br /> 1 DATE PURGED:– L2 (-I -t, END PURGE : <br /> DATE SAMPLED: SAMPLING TIME : t L{'L <br /> TIME VOLUME ' pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (24DO HR) (gal.) (units) (µmhos/cm@25°c) ff) (visual) (visual) <br /> Li W <br /> OTHER: ODOR: <br /> (COBALT 0-100) (NT;.)0.200) <br /> 1 FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e.FB-1,XDUP-1): <br /> 1 PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bailer(Teflon) 2-Bladder Pump Bailer(Teflon) <br /> 1 Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well WizardO Dedicated Well Wizard6 Dedicated <br /> Other: Other: ..�` <br /> 1 <br /> WELL INTEGRITY: ( LOCK: <br /> 1 REMARKS: <br /> 1 <br /> 1 pH,E.C.,Temp.Meter Calibration: Date:_ �/ Time: Meter Serial No.: <br /> E.C. 1000 / pH 7 / pH 10 / pH 4 <br /> Temperature OF JL <br /> SIGNATURE: iT REVIEWED BY: PAGE OF�� <br /> 1 <br />