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SECOR International Inc <br /> WATER SAMPLE FIELD DATA SHEEF <br /> PROJECT ff 7�G PURGED BY _�� WELL I D Q �� <br /> NAME SAMPLED BY <br /> SAMPLE l D <br /> LOCATION C 0 Z d S <br /> QA SAMPLES <br /> _Aa <br /> DATE PURGED C� START(2400hr) END (240011r) ` <br /> DATE SAMPLED 7?- SCJ - SAMPLE TIME(2400hr) // or) <br /> SAMPLE TYPE Groundwater ✓/ Surface Water Trearmeru Effluent Ocher <br /> CASING DIAMETER 2' — 3' 4' _ 5'— 6- 8- Other <br /> Castng Volume (gallons per foot) (0 l7) (0 38) (0 67) ([ 02) (1 50) (2 60) ( ) <br /> DEPTH TO BOTTOM (feet) = Q CASING VOLUME(gal) _ - <br /> DEPTH TO WATER(feet) _ g"2 -T-US 9 U CALCULATED PURGE(gal) <br /> WATER COLUMN HEIGHT(feet) = � �'�b ACTUAL PURGE(gal) <br /> HELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBEDITY <br /> (2400hr) (gal) (degrees F) (umhoslcm) (units) (Visual) (NTU) <br /> -�-- SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER SAMPLE TURBIDITY <br /> 80% RECHARGE `AYES�NO ANALYSES <br /> ODOR SAMPL£VESSEL,/PRESERVATNE � C/ <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Centnfuga[ Pump Bailer(PVC) Centrifugal Pump Bailer( _PVC or sable) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Penstaltic Pump Dedicated Peostaluc Pump Dedicated <br /> Other Other — <br /> Pump Depth <br /> WELL INTEGRITY GUI LOCKS <br /> REMARKS l V U Pu,-7 <br /> Page of <br /> SIGNATURE <br />