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WATER SAMPLE FIELD DATA SHEET Rev. 119 <br /> PROJECT NO: 20A41-008.00+1 r SAMPLE ID : r < ~ 2 <br /> PURGED BY: t I�G�-t CLIENT NAME: USA#65 <br /> OWT SAMPLED BY: LOCATION : 2250 West Lodi Ave., Lodi <br /> TYPE: Groundwater fi Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 3 ✓ 4 4.5 6 Other <br /> CASING ELEVATION(feet/MSL) : i VOLUME IN CASING(gal.): 7. <br /> DEPTH OF WELL(feet) : CALCULATED PURGE(gal.): -:< �b <br /> DEPTH TO WATER(feet): 39 -q(p ACTUAL PURGE VOL.(gal.): <br /> DATE PURGED: 6e 2S fell END PURGE: `3I Z <br /> DATE SAMPLED : I/ SAMPLING TIME: 1 3 3^] <br /> TIME VOLUME ' pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal.) (units) (µmhostcm@25°c) (°F) (visual) (visual) <br /> 310 S-0 M =7 6r4A,,1,1 &k/ <br /> l 3 f Z -y _ T.Q<'� S l�2_ co 17, <br /> OTHER: ODOR: <br /> • (COBALT 0-100) , NTU 0-200) <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 ler(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard4 Dedicated Well Wizard6 Dedicated <br /> Other: Other: <br /> WELL INTEGRITY: � U LOCK: <br /> REMARKS: <br /> PH.E.C.,Temp.Meter Calibration: Date: 'y{c_ /t/A1✓r Time: Meter Serial No.: <br /> E.C. 1000 / pH 7 / pH 10 ! pH 4 / <br /> Temperature IF <br /> . SIGNATURE: REVIEWED BY: .� PAGE��OF / t� <br /> _. <br />