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_-WATER SAMPLE FIELD DATA SHEET Rev. 119 <br /> PROJECT NO: 20A41-008.001 SAMPLE ID: <br /> PURGED BY: CLIENT NAME: USA 065 <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.): <br /> DEPTH OF WELL(feet): g- CALCULATED PURGE(gal.): <br /> DEPTH TO WATER(feet) :_-_ ?7� y ACTUAL PURGE VOL.(gal.): C o, C) <br /> DATE PURGED : END PURGE: 33V <br /> DATE SAMPLED : SAMPLING TIME: Z <br /> TIME VOLUME ' pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal.) (units) (pmhoslcm 25°c) (°F) visual) (visual) <br /> o ,o L <br /> OTHER:• ODOR: (CO A� 0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e.FB-1,XDUP-1): <br /> PURGING EQUIPMENT SAMPLING EOUIPME TT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump ✓ Bai[er(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Stec]) <br /> ,/ submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard() Dedicated Well WizardO Dedicated <br /> Other: Other: <br /> WELL INTEGRITY: LOCK: <br /> REMARKS: <br /> pH,E.C.,Temp_Meter Calibration: Date: X4.—/ ,���� Time: Meter Serial No.: <br /> E.C.1000 / pH 7 1 pH 10 / pH 4 / <br /> Temperature°F <br /> . SIGNATURE: REVIEWED BY: PAGE: OF� <br /> I <br /> i <br />