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SECOR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> OJECT# PURGED BY PR� WELL 1 D <br /> CLIENT NAME SAMPLED BY T r z� SAMPLE I D <br /> LOCATION Z o V T QA SAMPLES <br /> DATE PURGED �7 6 START(2400hr) END(2400hr) <br /> DATE SAMPLED 6 z SAMPLE TIME(2400hr) Q <br /> SAMPLE TYPE Groundwater Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2" >4' 3" 4" 5" 6" 8" Other <br /> Casing Volume (gallons per foot) //(0 17) (0 38) -(067) (I 02) (I 50) (2 60) ( ) <br /> DEPTH TO BOTTOM(feet)= 30 r o CASING VOLUME(gal)= -3, 5 <br /> DEPTH TO WATER(feet)_ f , in 7, CALCULATED PURGE(gal)_ <br /> WATER COLUMN HEIGHT(feet) Z� , ACTUAL PURGE(gal)=__ <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> )rOOhr al) units) (visual) , NTU)n <br /> �wy <br /> I <br /> [!J <br /> 1 <br /> L 51 <br /> 4 <br /> SAMPLE DEPTH TO WATER SAMPLE INFORMATION <br /> r / � SAMPLE TURBIDITY <br /> 805/6 RECHARGE NCYES NO ANALYSES <br /> ODOR. A M SAMPLE VESSEL/PRESERVATIVE ]j� �D N't <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Centrifugal Pump Bailer ( PVC or disposable) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Pensudic Pump Dedicated Penstalic Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> WELL INTEGRITY Gooy LOCK# Y. L <br /> REMARKSBig <br /> SIGNATURE r Page of <br />