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WATER SAMPLE FIELD DATA SHEET R0V. ,/s <br /> PROJECT NO: 20A41-008.001 SAMPLE ID: ;At <br /> A w <br /> t� PURGED BY: CLIENTNAME: USA Station#65 <br /> OW 1 SAMPLED BY: LOCATION: 2500 West Lodi Ave,Lodi <br /> TYPE: Groundwater Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 3 4 4.5 5 Other, •' <br /> CASING ELEVATION(fcet/MSL): VOLUME IN CASING(gal.): � <br /> DEPTH OF WELL(feet): CALCULATED PURGE(gal.): L.D <br /> DEPTH TO WATER(feet) ACTUAL PURGE VOL.(gal.): <br /> 3 <br /> DATE PURGED: END PURGE: <br /> DATE SAMPLED: SAMPLING 751E:' <br /> 51E: 3 ., <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal.) (emits) (°F) (visual) Maw) <br /> if <br /> OTHER: / ODOR <br /> (()oBAl.Taloo) (rrtvaam) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e.FB-1,XDUP-1) <br /> FU GING EQUIP <br /> SAMPLINGEOUIPMEn <br /> 2"B ladder Pump Bailer(Teflon) r Bladder Pump /--Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(StaiNess Staeq <br /> �Submers[blc <br /> "�^' Pump Rails(Stairiless Sreeii Dipper Submcrsrbie Pump <br /> Well wizard t] Dedicated Well WizardO Dedicated <br /> Other. Other- <br /> WELL INTEGRITY: �� —` f�-s p B� LOCK_ <br /> REMARKS. <br /> pH,Et�.Jemp.Meter Calibration: Date: o�� T /�c7l Meter Serial No.: 3 7 <br /> E.c. yeo6 3 f 9 c�{�3 px 7 fo.cr?1 pH 1�p_ •`l <br /> Temperature OF �,�� PH 4 / <br /> SIGNATURE 0 IL REVIEWED BY: PAGE� OF �o. <br />