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., SECOR International .Inc <br /> WATER SAMPLE FIELD DATA SHEET <br /> PROTECT it p7�,q I Sqq,OC)a PURGED BY �j �i1 WELL I D M <br /> 4CNAME lir-C o Z 13 SAMPLED BY S ,�J c� SAMPLE I D _ (-k V <br /> ON "Zgpb rn,n c� QA SAMPLES <br /> DATE PURGED Z l l0 �1�? START (2400hr) � _ END(2400Eir) <br /> DATE SAMPLED 'z ala SAMPLE TIME(2400fir) S <br /> SAMPLE TYPE Groundwater Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2" 3" 4" 51� 6" 8' Other <br /> Casing Volume (gallons per foot) (0 I7) (0 38) (0 67) (L 02) (1 50) (2 60) ( ) <br /> DEPTH TO BOTTOM (feet) = ZSS 5 CASING VOLUME(gal) - 7- <br /> DEPTH <br /> DEPTH TO WATER(feet) = )u �C-) CALCULATED PURGE(gal) = g . C\ JI <br /> WATER COLUMN HEIGHT(feet) _ �1 � �0 ACTUAL PURGE(gal) = <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDCT'"Y <br /> (2400hr) (gal) (degrees F) (umbos/cm) (units) (visual) (NTU) <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER Q ,5O SAMPLE TURBIDITY O� <br /> 80% RECHARGE KYES NO ANALYSES - <br /> ODOR SAMPLE VESSEL/ PRESERVATIVE <br /> Pq1UIPMENT SAMPLING EQUIPMENT <br /> Bladder PumpBailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal PumBailer(PVC) Centrifugal Pump Bailer( _PVC or disposable) <br /> Submersible PuBailer(Stainless Steel} Submersible Pump Bailer(Stainless Steel) <br /> Peristaltic Pump Dedicated Peristaltic Pump Dedicated <br /> Other Odier <br /> Pump Depth <br /> WELL INTEGRITY QY— 2 LOCK11�! <br /> REMARKS <br /> -LO— <br /> SIGNATURE _ Page 1 of <br /> O <br /> ,A <br />