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SECOR International Inc. <br />WATER SAMPLE FIELD DATA SHEET <br />t-KtJJtt- N: aZ <br />PURC,E D BY: � tV► - w1=LL I.D.: ,;cJ -- �Ol� <br />CLIENT NAME: �, L, <br />.5 % 77 SAMPLED BY: ��o SAMPLE I.D.: <br />LOCATION:t <br />SC)DATE <br />�� [y„z �,(. QA SAMPLES' <br />PURGED 1 /p START (2400hr) END (2400hr) �ZrZ <br />DATE SAMPLEDS/1! <br />!O __ SAMPLE TIME (2400hr) t <br />SAMPLE TYPE: Groundwater_ <br />Surface Water Treatment Effluent Olher <br />CASING DIAMETER: <br />2" 3" 4" 5" G" S" Other <br />Casing Volume: (gallons per toot) <br />_ <br />(0-17) (0.38) (0.57) ( 1.02) (1.50) (2.60) ( ) <br />DEPTH TO BOTTOM (feet) _ <br />toy{� U _ _ CASING VOLUME (gal) = % . q q <br />DEPTH TO WATER (feet) = <br />!� ,'j CALCULATED PURGE (gal) = y.147 <br />WATER COLUMN HEIGHT (feet) <br />= ACTUAL PURGE (gal) <br />FIELD MEASUREMENTS <br />DATE TIME <br />VOLUME TEMP. CONDUCTIVITY PH COLOR TURBIDITY <br />(2400hf) <br />(gal) (degrees F) (umhoskrn) (units) (visual) (NTU) <br />Z+�03 <br />21-60 7X1.7 CPO <br />+.tr1L� <br />q--80 240 <br />Aft <br />SAMPLE INFORMATION <br />SAMPLE DEPTH TO WATER:2— <br />_ SAMPLE TURBIDITY: kA�) <br />$096 RECHARGE: _j�-�YES <br />NO ANALYSES: <br />ODOR: 4e� <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#: 5 _ <br />REMARKS: <br />SIGNATURE: <br />Page of <br />