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WATER SAMPLE FIELD DATA SHEET Rev. 119 <br /> . PROJECT NO. 2AA4I-008.001 SAMPLE ID: <br /> � <br /> PURGED BY: ME <br /> CLIENT NA : USA Station#65 <br /> 0 Y{�Y 1 SAMPLED BY: OP 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(feeVMSL): VOLUME IN CASING(gal.): �- <br /> DEPTH OF WELL(feet): CALCULATED PURGE(gal.): <br /> DEPTH TO WATER(feet): 3k z ACTUAL PURGE VOL.(gal.): l <br /> DATE PURGED: Q <br /> END PURGE: <br /> DATE SAMPLED: SAMPLING TIME: t 3 <br /> Tam VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) 4 @25%) <br /> S� (ar=ia) (on (visual} (viaai) <br /> ---70 _ _ a <br /> lr ¢,LO 6r,3 c� c, <br /> OTHER: ODOR: ' <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e.FB-1,XDUP-1) WosALTaI (Nlva2oo) <br /> PURGING EOUIPMFNT SARLING EOUiPMFNT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump vs----Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) <br /> Bomb Sampler Bailer(StaiNesa Steel) <br /> 1�C—Submersible Pump Bailer(stainless SLee1) <br /> Dipper TSubmersible Pump <br /> Well WiDedicated Wed Wizard0 / Dedicated <br /> Other. / <br /> Other. <br /> W$LL INTEGRITY: C¢$e� LACK:- <br /> REMARKS: <br /> pH,E.C.Temp.Meter Calibration: Date: / fie: t'%-e/-/Meter Serial No.: <br /> E.C.I000_.. / pH 7 / ��� pH 10 <br /> . Te��re of pH# <br /> SIGNATURE: REVIEWED B PAGE�� OF /C/ <br />