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WATER SAMPLE FIELD DATA SHEET Rev. 119 <br /> PROJECT NO ; 2OA41-008.001 SAMPLE ID <br /> PURGED BY : v CLIENT NAME : USA 465 <br /> OWT SAMPLED BY : _ LOCATION: 2250 West Lodi Ave.,Lodi <br /> TYPE: Ground%vater A:,,�- Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2`� 3 4 4.5. 6 Other <br /> CASING ELEVATION(feet/MSL): VOLUME IN CASING(gal.): <br /> DEPTH OF WELL(feet) : CALCULATED PURGE(gal.): <br /> DEPTH TO WATER(feet): ?jj,ZV ACTUAL PURGE VOL.(gal.): C( <br /> DATE PURGED : ` END PURGE: <br /> DA'T'E SAMPLED: SAMPLING TIME: <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR. TURBIDITY <br /> (2404 H!2) (units) (µmhoslcm u25°c) (°F) (visual) (visu 1) <br /> 22 <br /> OTHER: ODOR: ^— <br /> (COBALT 0-100) (N'I'l.)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 Sailer(Teflon) <br /> Centrifugal Pump Bailer(FVC) Bomb Sampler Bailer(Stainless Steel) <br /> L,--'Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard6 Dedicated Well Wizard) Dedicated <br /> Other: Other: <br /> WELL INTEGRITY: LOCK: <br /> REMARKS: <br /> PH-E.C..Temp.Meter Calibration: Date: iVt,W�f Time: Meter Serial No.: <br /> E.C. 1000 / pH 7 / pH 10 1 pH 4 1 <br /> Temperature°F <br /> SIGNATURE: "� LjJ REVIEWED BY: PAGE OF �� <br />