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WATER SAMPLE FIELD DATA SHEET Rev. 1!9 <br /> PROJECT NO: 20A41-008.001 SAMPLE ID: <br /> PURGED BY: N r^t—• CLIENT NAME: USA#65 <br /> 4WT SAMPLED BY:_ LOCATION: 2250 West Lodi Ave.,Lade <br /> TYPE: Groundwater� Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 !/ 3 4 4.5 6 Other <br /> CASING ELEVATION(feet/MSL): VOLUME IN CASING(gal.): 3 -Cp <br /> DEPTH OF WELL(feet): CALCULATED PURGE(gal.): j() <br /> DEPTH TO WATER(feet): ACTUAL PURGE VOL.(gal,): I 1, 0 <br /> DATE PURGED: END PURGE : 120-7 <br /> DATE SAMPLED: L SAMPLING TIME: f <br /> TIME VOLUME ' pH E.C. TEMPERATURE COLOR TURBIDITY <br /> X240„ t1H (gal,) units} (Kmhoslcm@251c) (°F) (visual) (visual) <br /> -"ICS <br /> --Z &�- Z, <br /> OTHER: ODOR: <br /> (COBALT 0-100) {IZIU 0_200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e. FB-1,XDUP-1): <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 /> Z---Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well WizardU Dedicated Well Wizard( Dedicated <br /> Other: <br /> Other: <br /> WELL INTEGRITY: LOCK: <br /> REMARKS: <br /> pH,E]C�/,[3 mpt..Meter Calibration: Date: Time: yC� Meter Serial No.: <br /> E.C.t'BCt) l 1 LZ I 1 f 3 pH 7 . �D pH 10 q�� I lO-C�d _ pH 4- �f.��/ Y`td <br /> Temperature F 3 ,s <br /> SIGNATURE: �, REVIEWED BY PAGE OF_,�O <br />