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SECOR International Inc. <br />WATER SAMPLE FIELD DATA SHEE`{ <br />1w1ECl"#: -�7 3Cv9✓ <br />PURGFDBY: �r19 _ WELL I.D. &?'-d—f�' ---_ <br />CLIENT NAME -':is , ; , _ y'�j 72< SAMPLED BY: SAMPI-I- l D.: 4,J —ai <br />LOCATION: 1 t, 2 , WtjU,A4a6,L <br />[k�— QA SAMPLES: <br />DATE PURGED : Z/o/ <br />START (2400hr) _jj ,120 ENI) (24001w r�j:)S— <br />DATE SAMPLED C� /Z-7/r� <br />SAMPLE TIME (2400hr) j/ r'L <br />SAMPLE TYPE_ Gnnindw:nci T Surt'sce Water Treatment Efflueni Other <br />CASING D€A,\11:I'L:R: <br />2" 4 3 4" 5" 6" S" Other <br />Casing Vulunne: (gallons per foot) <br />(0.17) (0.38) (0.67) (1.03) (1.50) (2.60) ( ) <br />DEPTH TO BOTTOM (feet) _ <br />�O CASING VOLUME (gal)_ _ �, 5 <br />DEPTH TO WATER (feet) _ <br />-,q1 CALCULATED PURGE (gal) <br />WATER COLUMN HEIGHT (feet) <br />ACTUAL PURGE (gal) <br />FIELD MEASUREMENTS <br />DATE TIME <br />VOLUME TEMP. CONDUCTIVITY pH COLOR TURBIDITY <br />(2400hr) <br />(gal) (degrees F) (umhos/cm) (units) (visual) (NTU) <br />srzzjol r1 oz� <br />1 2- 7 9e <br />•� <br />ll:bc,� <br />�v �1•y �l2 _ sem_ <br />SAMPLE INFORMATION <br />SAMPLE DEPTH TO WATER: <br />lSAMPLE TURBIDITY: <br />90% RECHARGE: - YES <br />NO ANALYSES: <br />ODOR: <br />SAMPLE VESSEL/PRESERVATIVE: <br />PURGING EQUIPMENT SAMPLING EQUIPMENT <br />Bladder Pump <br />Bailer (Teflon) Bladder Pump Bailer (Teflon) <br />Centrifugal Pump <br />Bailer (PVC) Centrifugal Pump Bailer ( PVC or disposable) <br />Submersible Pump <br />Bailer (Stainless Steel) Submersible Pump Bailer (Stainless Steel) <br />Peristalic Pump <br />Dedicated Peristalic Pump _ _Dedicated <br />Other: <br />Other: <br />Pump Depth: <br />WELL INTEGRITY: <br />LOCK#: <br />REMARKS: <br />Page of <br />SIGNATURE: <br />