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SECQR International Inc <br /> WATER SAMPLE FIELD DATA SHEET <br /> ( XqE_ WELL i D <br /> 7ECT 7i���_ ,�°q" �U` C, PURGED BY / <br /> NAME )4W Z(33 SAMPLE r D G CJ <br /> SAMPLED BY_ <br /> LOCATION c7i � QA SAMPLES <br /> DATE PURGED <br /> A START(2400hr) �— END (2400110 <br /> DATE SAMPLED q SAMPLE TIME(2400hr) o7 D <br /> 3 Surface Water Treatment Effluent Other <br /> SAMPLE TYPE_ Groundwater <br /> 2. 3' d- 5- 6• _ 81 Other <br /> CASING DiA.METER. 102} (I 50) Cz�) ( ) <br /> Casing Volume (gallons per foot) (0 1T) (0 38) (0 <br /> DSI TO BOTTOM(feet) _ L4 D CASING VOLUME(gal) = <br /> DEPTH TO WATER(feet) = S CALCULATED PURGE(gal) _ <br /> WATER COLUMN HEIGHT(feet) = ACTUAL PURGE(gal) _ <br /> FIELD MEASUREMENTS _ <br /> TURBIDITY <br /> DATE TIME VOLUME TEMP CONDUCTIVITY/cu H�) COLON} (fin <br /> (2400hr) (gal) (degrees F) (umhosm) <br /> I <br /> cam- <br /> , <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER— <br /> SAMPLE TURBIDITY <br /> 80%RECHARGE YES NO <br /> ANALYSES. <br /> ODOR PLE SAMVESSEL/ PRESERVATIVE <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bailer(Teflon) BIadder Pump �Banler(Teflon) <br /> Bladder Pump VC Centrifugal Pump Bailer( _PVC or disposable) <br /> Centrifugal Pump Bailer� } p � <br /> Submersibie Pump Bailer(Stainless Steel) Submersible PumDpi Bailer Steel} <br /> (� <br /> PenstAttc Pump Dedicated Peristaltic Pump <br /> Other <br /> Other- <br /> Pump Depth <br /> LOCM <br /> WELL.INTEGRITY <br /> REMARKS <br /> Pages_j of <br /> SIGNATURE <br />