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WATER SAMPLE FIELD DATA SHEET Rev. 119 <br /> . PROJECT NO: 20A41-008.001 SAMPLE ID: A4 uJ� <br /> {� PURGED BY: L•� CLIEN'TNAME: USA Station#65 <br /> 0 YY 1 SAMPLED BY: LOCATION: 2500 West Lodi Ave,Lodi <br /> TYPE: Groundwater Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 p� 3 4 4.5 6 Other <br /> CASING ELEVATION(feet/MSL): VOLUME IN CASING(S&L) : 3- <br /> DEPTH OF WELL(feet): - CALCULATED PURGE(gat.): r D-] <br /> DEPTH TO WATER(feet): 3ce-5-3 ACTUAL PURGE VOL(gal.) : <br /> DATE PURGED: 3J F9 END PURGE: <br /> DATE SAMPLED: SAMPLING TIME: /&03 <br /> TIME VOLUME PH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (g� (units) 0-hcs/cmCBa 2S°c) ("F) (visual) (Vimm) <br /> X93. � , �r <br /> 01` <br /> OTHER: ODOR: 5 <br /> (COBALT al (NTIt]x200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e.FB-1,XDUP-1) <br /> PURGINGE01UmEa SAMELING EOUrnN1ENT <br /> 2"Bladder Pomp Bailer(Teflon) 2"Bladder Pomp Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb sample: Bailer(Stainless Smeq <br /> LSubmersible Pump Bailer(Stainless Smei) <br /> Dipper Submersible Pump <br /> Well Wizarde Dedicated Well%ru2rdO / Dedicated <br /> Other. Other: <br /> WELL INTEGRITY: 6GG9 LOCK. <br /> REMARKS: <br /> pH.E.C..Temp.Meter Calibration: Date:-'cT r / Meter Serial No.: <br /> • <br /> E.C. 1000 pH 7 / pH 10 / pH 4 <br /> Temperature IF <br /> SIGNATURE: REVIEWED BY50K PAGE OF �� <br />