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SECOR International Inc. <br />WATER SAMPLE FIELD DATA SHEET <br />IwOJECT #: <br />PURGED BY: _ WELL I.D.: ^W4 <br />CLIENT NAME: <br />SAMPLED BY: J SAMPLE I.D.: /%LW4 <br />LOCATION: <br />QA SAMPLES: I<- <br />DATE PURGED �� '�� <br />START (2400hr) e� (�cf- ENF7 {2400hr) 41O <br />DATE SAMPLED S-� <br />p <br />SAMPLE TIME (2400hr) C� i 7 <br />SAMPLE_ TYPE; Groundwatcs t/, <br />Surface Water Treatment Effluent Other <br />CASING DIAMT-TER: <br />2" <br />3" 4" 5" 6" S" Other <br />Casing Volume: (galions per foot) <br />(0.17) <br />(0.38) (0.67) (1-02) (1.50),, (2.60) ( ) <br />DEPTH TO BOTTOM (feet) = <br />�y��l� <br />CASING VOLUME (gal) = 117/ <br />DEPTH 1-0 WATER (feet) = <br />�. 6� <br />CALCULATED PURGE (gal) = yp� <br />WATER COLUMN HEIGHT (feet) _ <br />�j J <br />ACTUAL PURGE (gat) <br />FIELD MEASUREMENTS <br />DATE TIME <br />VOLUME <br />TEMP. CONDUCTIVITY pH COLOR TURBIDITY <br />(2400hr) <br />(gal) <br />(degrees F) (umhoslcm) (units) (visual) (NTU) <br />0171176 <br />,g0 7.90 <br />SAMPLE INFORMATION <br />SAMPLE DEPTH TO WATER: <br />. 7,6 <br />SAMPLE TURBIDITY: <br />80% RECHARGE: YES <br />NO <br />ANALYSES: <br />ODOR: k- <br />SAMPLE VESSEL / PRESERVATIVE: <br />PURGING EQUIPMENT <br />SAMPLING EQUIPMENT <br />Bladder Pump <br />Bailer (Teflon) Bladder Pump Bailer (Teflon) <br />• Bailer (PVC) Centrifugal Pump Railer ( PVC or p�disposabie) <br />Centrifugal Pump <br />Submersible Pump <br />Bailer (Stainless Steel) Submersible Pump Bailer (Stainless Stec]) <br />Peristalic Pump <br />Dedicated Peristalic Pump Dedicated <br />Other: <br />Other: <br />Pump Depth: <br />WELL INTEGRITY: <br />LOCK#: VIT <br />REMARKS: <br />�G� <br />Page of <br />SIGNATURE: <br />