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SECOR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> rP ECTlbpp-tot�1�U2- PURGED BY WELL I D - <br /> 1�NAME 2-163 SAMPLED BY SAMPLE I D -2— <br /> LOCATION C til YY�i �O QA SAMPLES <br /> DATE PURGED - 2-2- START(24001ir) 12 b END (2400hr) \Z <br /> DATE SAMPLED Lz-ti5 SAMPLE TIME(2400hr) SO <br /> SAMPLE TYPE Groundwater Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2- 3' ... 4' 5' 6" 8- Other <br /> Casing Volume (gallons per foot) (0 I7) (0 38) (0 67) (1 02) (1 50) (2 60) ( ) <br /> DEPTH TO BOTTOM(feet) = 23 _ CASING VOLUME(gal) = S KD <br /> DEPTH TO WATER(feet) _ 914.2 CALCULATED PURGE(gat) _ _ \\,o 2-\ <br /> WATER COLUMN HEIGHT(feet) Lk •zZ ACTUAL PURGE(gal) W NO <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umhos/cm) (units) (visual) (NTU) <br /> Q SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER _ p :"B SAMPLE TURBIDITY <br /> 80% RECHARGE )OYES—NO ANALYSES <br /> ODOR SAMPLE VESSEL/PRESERVATIVE <br /> PURGINUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump �, Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal Pum Bailer(PVC) Cenuifugal Pump Bailer( _PVC or X diSPosable) <br /> Submersible PumpzSPM Baiter(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Peristaltic Pump Dedicated Peristaltic Pump Dedicated <br /> Other Odor <br /> Pump Depth <br /> WELL INTEGRITY LOCK# 0 <br /> *MARKS <br /> f <br /> i <br /> Page 1 of 1� <br /> SIGNATURE <br />