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SECOR International Inc. <br />WATER SAMPLE FIELD DATA SHEET <br />403 EC I' #: d77.G/3`/y9 to5t� PURGED 131'_ _`� WELL I.D.: ;y�-/ — <br />CLIENT NA17E: ej4-2(J -V 5'T)'5 SAMPLED BY: _ :jjjA SAMPI-E I.D.: <br />LOCATION- <br />QA SAMPLES: <br />DATE PURGED 'SI t/0 1 <br />_ START (2400h0 -ND ('_'400hr) 5'cto — <br />DATE SAMPLED f12, /Q ( <br />SAMPLE TIML (24001ir) i <br />SAMPLE: T YPE Groundwater )�- Surface Water Ticaunenl Effluent Other <br />CASING DIAMI TER: <br />4" 6" S" Other <br />Casing Volonic: (gallons (ler tOot) <br />(0.17) (0.3&) (0.67) ( E,02) (1-50) (160) ( ) <br />DEPTH TOBOTTOM (ieel)= <br />- 5 CASINGVOLUME(gal)- _ 4-1, co <br />DEPTH TO WATER (feet) = <br />CALCULATED PURGE (gal) = lQ •o+- <br />WATER COLUMN HEIGHT (feet) = <br />2:3 --s-co- 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 />�s lrb f 3 i�3 _ <br />_ �t S- c�o-7 La er,t <br />a ► • (.)12 (, ej8:T� <br />21 -(a LajC2$1 <br />SAMPLE INFORMA'T'ION <br />SAMPLE DEPTH TO WATER: <br />S (a _ ,;I ? SAMPLE TURBIDITY: L� <br />80% RECHARGE: n 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 />Peristatic Pump <br />_Dedicated Peristalic Pump �Dedicated <br />Other: <br />Other: <br />Pump Depth: <br />WELL INTEGRITY: ,/rj,t� <br />_ LOCK#: / /S <br />REMARKS: <br />SIGNATURE: 1 <br />Page of <br />