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DEPTH TO BOTTOM (feet) = <br />SECOR International Inc. <br />a er ump <br />Centrifugal Pump <br />CASING VOLUME (gal) = <br />WATER SAMPLE FIELD DATA SHEET <br />DEPTH TO WATER (feet) _ <br />];2. <br />Bailer (Stainless Steel) <br />PURGED BY: — _ <br />WELL I.D.: <br />M(J) .. <br />CLIENT NAME: <br />SAMPLED BY �� <br />SAMPLE I.D.: <br />LOCATION: i,t7 } �yy, x t, <br />(,U � " <br />QA SAMPLES: <br />DATE TIME <br />DATE PURGED 4(1,2-101 — — <br />START (2400hr) j <br />END (2 00111) <br />% <br />DATE SAMPLED c�l 7-101 _ <br />SAMPLE TIME (2400hr) <br />(degrees F) <br />(umhoskrn) (units) <br />SAMPLE TYPE: Groundw;uer <br />Surface Water TI-CaUllent Effluent <br />`i <br />Other <br />CASING DIAMETER: 2 <br />3" 4" 5" 6" <br />8- <br />0111c]Casing <br />_ <br />Vulumc: (gallons per Foot) (0.17) (0.17) <br />(0.38) (0.67) (1.02) <br />(1.50} <br />(2.(J0) ( ) <br />DEPTH TO BOTTOM (feet) = <br />7CJ 7CQ <br />a er ump <br />Centrifugal Pump <br />CASING VOLUME (gal) = <br />(-1 .V <br />DEPTH TO WATER (feet) _ <br />];2. <br />Bailer (Stainless Steel) <br />CALCULATED PURGE (gal) _ Ae- <br />WATER COLUMN HEIGHT (feet) _ <br />�2,,4 _( <br />_Dedicated <br />ACTUAL PURGE (gal) <br />FIELD MEASUREMENTS <br />DATE TIME <br />VOLUME <br />TEMP. <br />CONDUCTIVITY pH <br />COLOR TURBIDITY <br />(2400hr) <br />(gal) <br />(degrees F) <br />(umhoskrn) (units) <br />(visual) (NTU) <br />1221 I ]:gip <br />`i <br />—A <br />s&:Lc,Q <br />e_1�� _ <br />� � <br />0 •.2iz. <br />21-0 <br />SAMPLE INFORMATION <br />SAMPLE DEPTH TO WATER: r, ,� - — SAMPLE TURBIDITY: <br />80% RECHARGE: j�,_ YES NO ANALYSES: <br />ODOR:_ SAMPLE VESSEL / PRESERVATIVE: <br />PURGING EQUIPMENT SAMPLING EQUIPMENT <br />BI dd P Bailer (Teflon) <br />Blamer Pump <br />Centrifugal Pump <br />Bailer (Teflon) <br />Bailer (PVC) <br />a er ump <br />Centrifugal Pump <br />Bailer ( FVC or disposable) <br />Submersible Pump <br />Bailer (Stainless Steel) <br />Submersible Pump <br />Bailer (Stainless Steel) <br />Peristalic Pump <br />j Dedicated <br />Peristalic Pump <br />_Dedicated <br />Other: Other: <br />Pump Depth: <br />WELL INTEGRITY: LOCK#: <br />REMARKS: <br />SIGNATU <br />Page of <br />