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SECOR International Inc. <br />WATER SAMPLE FIELD DATA SHEET <br />'WlECT": o'77.W3�YysrcSZ' <br />PURGED BY: '�/n -- wj:]_L 11) : _924-) -01 <br />CLIENT NAME: [�GtC-t_� _ <br />-'j 7 25 SAMPLED BY: SAMPLE LD.: InLo <br />LOCATION: 30 I -) <br />S: <br />ti r'l (�v7 L-ec-L- QA SAMPLES: <br />DATEPURGED S/Z2-101 <br />— ST ART (2400hf) :J7 END(2alH)hr) )r' -Z) <br />DATESAMPLED S(ZZ/Of _ SAMPLE TIME (24001r) <br />_ <br />SAMPLETYPE: Groundwatcr—)r,_ <br />Surface Water l'rcalmen(lulllueui Other <br />CASING DIAMETER: <br />2" A 3" 4" 5" G" S" Other <br />Casing Volume: (gallons per foot) <br />(0-17) (0,38) (O.67) (1-02) (1-50) (2.60) ( ) <br />DEPTH TO BOTTOM (Icct) _ <br />CASING VOLUASE (gal) <br />DEPTH TO WATER (feet) _ <br />CALCULATED PURGE (gal) _"7• Z[� <br />WATER COLUMN HEIGHT (feet) = ACTUAL PURGI ( 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 />11 z< <br />-2 —LAPaA <br />- <br />�� �1 `2__� -- -- (J-q� <br />SAMPLE INFORMATION <br />CO <br />SAMPLE DEPTH TO WATER: <br />SAMPLE TURBIDITY: <br />go% 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 />Bailer ( PVC or disposable) <br />Centrifugal Pump <br />Bailer (PVC) Centrifugal Pump <br />Submersible Pump <br />Bailer (Stainless Steel) Submersible Pump Bailer (Stainless Steel) <br />Peristalic Pump <br />_ A Dedicated Peristalic Pump ( Dedicated <br />Other: <br />Other: <br />Pump Depth: <br />WELL INTEGRITY: <br />LOCK#: <br />REMARKS: <br />Page of <br />SIGNATURE: <br />