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WATER SAMPLE FIELD DATA SHEET Rev. <br /> PROJECT NO: 2OA41-00$.001 SAMPLE ID: j"W'7 <br /> PURGED BY: CLIENT NAME: USA Station#65 <br /> OWT SAMPLED BY; LOCATION: 2500 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/MSO: VOLUME IN CASING(gal.): ` r <br /> DEPTH OF WELL(feet): -r CALCULATED PURGE(gal.)._ D• <br /> DEPTH TO WATER(feet): '3'7- 7 ACTUAL PURGE VOL.(gal.): <br /> DATE PURGED: 3 9 END PURGE: 9 <br /> DATE SAMPLED: MP <br /> OK SAMPLING TIME: /Y <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (Saw (unit) (pmhos/cm@25°0 ('Fj (Viawi) (visttsp <br /> ED <br /> 35 C-7 if <br /> OTHER: ODOR: 1''"o ""c, <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e.F13-1,XDUP-1); (coBnc.r at (Nru 0-M) <br /> PURGING LOUT SA MPLING EDM ENT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump / Bailer(Teflon) <br /> _T7 Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel} <br /> 7`— Submersible Pump Bailer IStaittless Steel) <br /> aiPPef Submersible Pump <br /> well wizard � <br /> Dodid WenWizard8 Dedicated <br /> Other <br /> Other: <br /> /r <br /> WELL INTEGRITY: In 12>0V t`"{'I+ j LACK <br /> REMARKS: <br /> pH,E.C..Temp.Meter Calibration: Date: �J ; ter Serial No.: <br /> E.C. 1000 pli I <br /> pHiO / pH4 / <br /> Temperature OF <br /> SIGNATURE: REVIEWED BY: PAGE OF <br />