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WATER SAMPLE FIELD DATA SHEET Rev. 119 <br /> —7`c2 OGC� <br /> PROJECT NO : 2"41-99$00k SAMPLE ID : — <br /> PURGED BY : Lk= F CLIENT NAME: USA t#65 <br /> 0VVT SAMPLED BY : 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/MSL): VOLUME,IN CASING(gat.): <br /> DEPTH OF WELL(feet): CALCULATED PURGE(gal.): <br /> ' DEPTH TO WATER(feet): t-(0.04( ACTUAL PURGE VOL.(gal.): <br /> ' DATE PURGED: a END PURGE: <br /> DATE SAMPLED: SAMPLING TIME: 15 <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2401 HR) (gal.) (units) (pmhoskm@25%) (°F) (visual) (vis al) <br /> ��. �,,� <br /> 7 ,v -� <br /> OSf �Gc�w�4L "l`I � -�, ---d` <br /> . OTHER: ODOR:, ---�— —�� <br /> (COBALTO-100) (N'(U 0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e.FB-I,XDUP-I) <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 Stec]) Dipper Submersible Pump <br /> Well Wizard0 Dedicated Well Wizard6 Dedicated <br /> ' Other. Other: <br /> WELL INTEGRITY: LOCK: <br /> REMARKS: (� ?e .6 4 r/C— — T <br /> pH,E.C.,Temp.Meter Calibration: Date: C{)^/ Time: Meter Serial No.: <br /> E.C.1000' I pH 7 / pH 10 1 pH 4 I <br /> l <br /> Temperature°F <br /> ieSIGNATURE:^ G� REVIEWED BY: PAGE OF—Z�2 <br />