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' WATER SAMPLE FIELD DATA SHEET Rev. 1-79 <br /> �1 -?crZov�- <br /> PROJECT NO: 1*A4 —4N.001 SAMPLE ID: Z <br /> PURGED BY: r ti CLIENT NAME: USA#65 <br /> OWT SAMPLED BY: LOCATION : 2250 West Lodi Ave..Lodi <br /> ' TYPE: Groundwater Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 3 4 4.5 6 Other <br /> ' CASING ELEVATION(feet/MSL): ter. VOLUME IN CASING(gal.): 2. <br /> 2. <br /> DEPTH OF WELL(feet): �14 .2 CALCULATED PURGE(gal.) <br /> DEPTH TO WATER(feet) : L-f o c(( ACTUAL PURGE VOL.(gal.):_'7.6 <br /> DATE PURGED : Z l4 q END PURGE: r Q <br /> DATE SAMPLED : SAMPLING TIME <br /> ' TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal.) r(units) (µmh slcm@25"c) °F) (Viso I <br /> 141, �n <br /> �. d � S raJ�OKm- c�tJ <br /> i <br /> OTHER: �,. ODOR: <br /> ' b.I00)' (NTU 0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL( i.e. FB-1.XDUP-1) (CQBALT <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 Wizard6 Dedicated <br /> Other: Other: <br /> WELL INTEGRITY_ _. LOCK: <br /> REMARKS: <br /> PH,E.C.,Temp.Meter Calibration: Date: +(f.—I Time. Meter Serial No.: <br /> E.C.1000 / pH 7 1 pH 10 / pH 4 / <br />' Temperature°F <br /> SIGNATURE: REVIEWED BY: PAGE �� OF� <br />