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SE COR Intenuatonal Inc <br /> WATER SAMPLE FIELD DATA SHEET <br /> PROJECT if V Coo-„-yy6c)3-0-,7 PURGED BY \YELL I D <br /> TENT NAME /I1"'d SAMPLED BY L SAMPLE I D - <br /> LOCATION G U 2 r SA QA SAMPLES r�T� <br /> DATE PURGED START(24001ir) END (24001ir) <br /> DATE SAMPLED - ttj / SAMPLE TIME(2400hr) <br /> SAMPLE TYPE Groundwater ✓ Surface Water Treaunew Effluent Otlicr <br /> CASING DIAMETER 2' 3” 4" _ 5- 6" 9" Odder <br /> Casing Volume (gallons per foot) (0 17) (0 38) (0 67) (t 02) (1 50) (2 60) ( ) <br /> DEPTH TO BOTTOM (fee() _ 1� UJ CASING VOLUME(gal) _ <br /> DEPTH TO WATER(feet) = /0 3 C3 T US ZI O CALCULATED PURGE(gal) <br /> WATER COLUMN HEIGHT{feet) = i 3 -7 ACTUAL PURGE(gal) <br /> FEELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY p14 COLOR TURBIDITY <br /> hr (gal) (degrees F) (umhos/cm) (units) (visual) (NTM <br /> SAMPLT' INFORMATION <br /> SAMPLE DEPTH TO WATER C�,3U SAMPLE TURBIDITY <br /> 80% RECHARGE YES NO ANALYSES )�` I {7✓ <br /> ODOR SAMPLE VESSEL/ PRESERVATIVE. U Oz <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Baiter(Teflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Centrifugal Pump Bailer( _PVC or _disposable) <br /> Submetstble Pump Bailer(Stainless Steel) Submersible Pump Bailer(Srarnless Steel) <br /> Peristaltic Pump Dedicated Peristaltic Pump Dcdicated <br /> Other Other <br /> Pump Depth <br /> WELL INTEGRITY C7 d•�p LOCK# � S 7�yC <br /> REMARKS <br /> f'a;e of <br /> SIGNATURE <br />