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WATER SAMPLE FIELD DATA SHEET Rev. 7/8 <br /> PROJECT NO: 20A41-008.001 SAMPLE ID: /tI j <br /> PURGED BY : CLIENT NAME: [ISA 965 <br /> OWT SAMPLED BY: LOCATION: 2250 West Lodi Ave.,Lodi <br /> TYPE: Groundwater t- Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 V 3 4 4.5 6 Other <br /> CASING ELEVATION(feet/MSL): VOLUME IN CASING(gal.): 3, <br /> DEPTH OF WELL(feet); ;`�_ CALCULATED PURGE(gal.): (} . <br /> DEPTH TO WATER(feet):_ ACTUAL PURGE VOL.(gal.): �U <br /> DATE PURGED : END PURGE: -5Z <br /> DATE SAMPLED: SAMPLING TIME : i Z 3Z <br /> TIME VOLUME ' pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal.) units) (µmhaslcm@25*c) �F� (visual) (visual <br /> 12 Z I 3,.0 (� •5-70 69 111�1- <br /> r 23Z 10:�5L -f- 69, I 1�µ_ <br /> . OTHER: ODOR:_ VaA,-,� <br /> (COBALT 0-100) NTU 0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL( i.e. FB-1,XDUP-t): <br /> J <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump V Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> �Submcrsible Pump Sailer(Stainless Steel) Dipper Submersible Pump <br /> Well WizardO Dedicated Well Wizard6 Dedicated <br /> Other: Other: <br /> WELL INTEGRITY: LOCK: Q Lr(e y <br /> REMARKS: <br /> pH,E.C.,Temp.Meter Calibration: Date: Ti,,: Meter Serial No.: <br /> E.C. 1000 ! pH 7 ! pH 10 / <br /> pH 4 ! <br /> Temperature°F <br /> SIGNATURE: REVIEWED BY: PAGE !r OF /� <br />