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SECOR Inter�urtional Inc <br /> WATER SAMPLE FIELD DATA SHEET <br /> PROJECT a 4t-1600—v)L\ PURGED BY )2nI— WELL I D 1 0 <br /> OUNAME AZ LD SAMPLED BY VIII <br /> SAMPLE I D <br /> LOCATION 1L N (`,R QA SAMPLES <br /> DATE PURGED - Z2 START(24001%r) — O END (24001,17) 21Ss I t <br /> DATE SAMPLED - Z- � SAMPLE TIME(2400hr) <br /> SAMPLE TYPE Groundwater Surface Wa[er Treatment Effluent Other <br /> CASING DIAMETER 2' 3" 4- 5 6' _ 8' _ Other <br /> Casing Volume ((gallons per foo[) (0 17) (0 38) (0 67) (L 02) (I 50) (2 60) ( ) <br /> DEPTH TO BOTTOM(feet) = Z� CASING VOLUME(gal) _ • �(o <br /> DEPTH TO WATER(feet) = _ p • _ CALCULATED PURGE(gat) = \9,. So <br /> WATER COLUMN HEIGHT(fee[) ACTUAL PURGE(gal) <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2 hr) (gal) (degrees F) (umhos/cm) (units) (visual) (N-TU) <br /> -22_ l <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER SAMPLE TURBIDITY lJJ <br /> 80% RECHARGE�YES NO ANALYSES <br /> ODOR SAMPLE VESSEL/ PRESERVATIVE <br /> p G MENT SAMPLING EQUIPMENT <br /> Bladder Pum Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Pump Centrifugal Pum Bailer( _PVC or xdisposable) <br /> Centrifugal Pum Bailer(PVC) g p — <br /> _Submersible Pum Bader(Stainless Steel) Submersible Pump <br /> DedicBailerated(Stainless Steel) <br /> Peristaltic Pump <br /> Dedicated Peristaltic Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> WELL INTEGRITY LOCK# <br /> MARKS `G <br /> rJ 7� <br /> 1 Page C( of \V <br /> SIGNATURE <br />