Laserfiche WebLink
WATER SAMPLE FIELD DATA SHEET Rev. 119 <br /> PROJECT NO: 20A41-008.001 SAMPLE ID: <br /> • PURGED BY:_-� t CLIENT NAME: USA 0#65 <br /> OWT SAMPLED BY : - �/ LOCATION: 2250 West Lodi Ave.,Lodi <br /> TYPE: Groundwater Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 1111� 3 4 4.5 6 Other <br /> CASING ELEVATION(feet/MSL): `r- VOLUME IN CASING(gal.): , Z <br /> DEPTH OF WELL(feet):_ .� CALCULATED PURGE(gal.): j _ <br /> DEPTH TO WATER(feet) : 3 ,(� ACTUAL PURGE VOL.(gal.):_ 10- 0 <br /> DATE PURGED: Z✓� t1 END PURGE: <br /> DATE SAMPLED: SAMPLING TIME: <br /> TIME VOLUME - pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal.) (units) (t4mhoslctn(_@25'c) ('F) (visual) (visual) <br /> 10-6 T2 <br /> • OTHER: ODOR: <br /> (COBALT 0-100) il(NTU 0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL( i.e. F13-1,XDUP-1): <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump ,`�Bailer(Teflon) <br /> irifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard6 Dedicated Well Wizard6 Dedicated <br /> Other. Other: <br /> WELL INTEGRITY: LOCK: <br /> REMARKS: <br /> pH,E.G.,Temp.Meter Calibration: Date: 5),&— ,AA,;� Time: Meter Serial No.: <br /> E.C. 1000 / pH 7 / pH 10 I pH 4 I <br /> Temperature OF <br /> SIGNATURE: REVIEWED BY: PAGE OF� <br />