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SECOR International Inc. <br />WATER SAMPLE FIELD DATA SHEET <br />*07jrCT 0: ,", Y�c1NCf �.�� PURGED 13Y: WELL I.D.: <br />CLIENT NAME: � ,� _ �I_� <br />7S SAMPLED BY: SAMPLE I. D.: t — <br />LOCATION: A01 <br />QA SAMPLES: <br />DATE PURGED /Zl/r / <br />_ START (2400hr) `L'.bD END (24(X)hr) <br />DATESAMPLED r}/�t�rf <br />_ SAMPLE TIME (2400hr):E� <br />SAMPLE- TI'YE: Groundwater <br />q Surface Water T1ea1111ent Effluent 011ier <br />CASING DIAMETER: <br />2" k— ;" 4" 5" G" S" 011ier <br />Casing Volume: (gallons Per IOot) <br />(0.17) (O. ;S) (0.67) (1.0') ( 1.50) (2.60) ( ) <br />DEPTH TO BOTTOM (feet) = <br />J" CASING VOLUME (gal) = CA- <br />DEPTH TO WATER (feet) = <br />CALCULATED PURGE (gal) _ 2e G1 <br />WATER COLUMN HEIGHT (feet) - <br />_ <br />55 . f ACTUAL PURGE (gal) = 30 - LX) <br />FIELD MEASUREMENTS <br />DATE TIME <br />VOLUME TEMP. CONDUCTIVITY pH COLOR TURBIDITY <br />(2400hr) <br />(gal) (degrees F) (umhos/cm) (units) (visual) (N -TU) <br />�2r/o z <br />162 V -w- -{(a7 ccs <br />1— 16 w7f5 2 410 ::tr— <br />SAMPLE INFORMATION <br />SAMPLE DEPTH TO WATER: <br />S(a , 1 e[ SAMPLE TURBIDITY: (,OCA. l` <br />80% RECHARGE: )( YES <br />NO ANALYSES: <br />ODOR; <br />SAMPLE VESSEL/ PRESERVATIVE: <br />PURGING EQUIPMENT <br />SAMPLING EQUIPMENT <br />Bladder Pump <br />Bailer (Teflon) <br />Bladder Pump Bailer (Teflon) <br />Centrifugal Pump <br />Bailer (PVC) <br />Centrifugal Pump Bailer ( PVC or disposable) <br />Submersible Pump <br />Bailer (Stainless Steel) <br />Submersible Pump Bailer (Stainless Steel) <br />Peristalic Pump <br />�Dedicated <br />Peristalic Pump x_Dedicated <br />Other: <br />Other: <br />Pump Depth: <br />WELL INTEGRITY: <br />LOCK#: <br />REMARKS: <br />SIGNATURE: <br />_ Page of <br />