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SECOR International Incorporated <br /> WATER SAMPLE FIELD DATA SHEET <br /> Well I D <br /> .� L 01 �'� �' <br /> _ q <br /> Project N q C <br /> y Of 1 Purged By 2 W��y <br /> Client Name CAI -T>r" Sampled By -,ti/ZC _ Sample I D <br /> Location j 03 SOS+ l3 5fv'0ef- SfP<,P-f'°'') 51cd QA Samples <br /> Date Purged Q"(�-t75 Start(240ohr) y 3 3 Q End (2400hr) _ o <br /> Date Sampled Sample Time (2400hr) <br /> t <br /> Sample Type 110 Groundwater ❑ Other <br /> Casing Diameter 2" 3„ 4" 5" <br /> b„ g" Other <br /> _ tab Purge (gai) ��` <br /> Depth to Bottom(feet) OC) <br /> Depth to Water(feet) _ _ rJ 1 Zy Purge Rate (CE gal or ❑ literlmin) <br /> FIELD MEASUREMENTS <br /> Date Time Volume Temp Conductivity pH Color TuVrbidi, D O Depth <br /> (2400hr) (gal) (degrees (;imhoslcm) (units) (visual) (' (mg/1) {ft) <br /> -71'6 04"— how <br /> !`II yZ 7 — ? xl Ctczw^ ccx� -- <br /> eGJ5 -7 27 WILL? <br /> INFORMATION V <br /> SAMPLE INFORM <br /> Sample Depth to Water , -7 7 Sample Turbidity <br /> Analyses F f 6 Y + 13� ,My l'31� OXY s $ L6o <br /> Odor Nook Sample Vessel/Preservative Vt7't5 r .r� - <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bailer (Teflon) Bladder Pump Bailer (Teflon) <br /> Centrifugal Pump Bailer (PVC) Centrifugal Pump Bailer(PVC o ispasable <br /> 4Submersible Pump Bailer (Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Peristaltic Pump Dedicated Pery taluc Pump Dedicated <br /> Other Other <br /> Pump Depth ��- <br /> Well Integrity <br /> Lock a <br /> Remarks <br /> NOTE Sample after three consecutive roadings are within <br /> pH-f 0 1, turbidity and DO = t 10%, conductivity = 3% <br /> Page of <br /> Signature <br />