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WATER SAMPLE FIELD DATA SHEET Rev. 1/9 <br /> PROJECT NO: 20A41-008.001 SAMPLE ID : � ' Cp <br /> PURGED BY : t` CLIENT NAME: USA #65 <br /> OWT SAMPLED BY : LOCATION : 2250 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(feet/MSL); VOLUME IN CASING(gal.): Z <br /> DEPTH OF WELL(feet): CALCULATED PURGE(gal.): _ <br /> DEPTH TO WATER(feet): ACTUAL PURGE VOL.(gal.): �� <br /> DATE PURGED : (� END PURGE: N <br /> DATE SAMPLED: SAMPLING TIME :l <br /> TIME VOLUME - pH E.C. TEMPERATURE COLOR TURBIDITY <br /> 1200 HlZ1 (8ain9ts (}srnhos/c °c) visual) (visual <br /> -N Z< 3 <br /> l L -373 �Z 2 ,-7 <br /> OTHER: ODOR: <br /> • (COBALT 0-100) (1StTU a2p0) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e.FB-I,XDUP-1): <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump Mailer(Teflon) 6*1 <br /> Centrifugal Pump ..Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard6 Dedicated Well Wizard0 Dedicated <br /> Other: Other: <br /> WELL INTEGRITY: �[J c� LOCK: <br /> REMARKS: <br /> pH,E.C.,Temp.Meter Calibration: Date: Time: Meter Serial No.: <br /> E.C. 1000 ! pH 7 / <br /> pH 10 pH 4 / <br /> Temperature°F � 4 <br /> SIGNATURE: REVIEWED BY: PAGE OF / <br />