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SECQR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> OJECF# Z 133" T 6 CPV` ���r�` PURGED BY WELL I D_ <br /> NAME Af-co 1 33 SAMPLED BY <br /> SAMPLE I D <br /> QA SAMPLES <br /> LOCATION 4 <br /> c� START(24Whr) { 140 END (24WItr) <br /> 1q <br /> DATE PURGED _��q(�J <br /> DATE SAMPLED )A- [ - !V SAMPLE TIME(2404hr) Bd <br /> SAMPLE TYPE_ Groundwater OL_ <br /> Surface Water Treatment Effluent Other <br /> _ 4' 5. 6• 8' Other <br /> CASING DIAMETER- 2. 3 C-260) ( } <br /> Casing Volume (gallons per foot) (0 l7) (0 3$) (0.67) (L 02) (I 50) <br /> DEPTII TO BOTTOM (feet) = 2- O CASING VOLUME(gal) f ` - --- <br /> DEPTH TO WATER(feet) = 5 •6� CALCULATED PURGE(gal) = _ ,l o <br /> WATER COLUMN HEIGHT(feet) = 21. 0�3 ACTUAL PURGE(gad) = I • 0 <br /> FIELD MEASUREMENTS <br /> VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> DATE TIME, units) (vmual) <br /> (2400hr) (.gal) (de {``�'°i�) 6 �z •� <br /> �s <br /> SAMPLE INFORMATION <br /> SAMPLE'nJRSIDITY <br /> SAMPLE DEPTH TO WATER- <br /> 80% <br /> ATER80%RECRARGE L�,M—NO ANALYSES_E <br /> ODOR SAMPLE VESSEL 1 PRESERVATIV <br /> PURGING EQUIPMENT SAMPLING EQUTPMENI <br /> Bladder Pump Bailer(Teflon) <br /> Bladder Pump Badu(Teflon) _PVC or _dtsposable) <br /> Bader(PVC} Centrifugal Pump Bailer <br /> Centnfugal Pump Bailer(Staudess Stec[) <br /> Submersible Pump Berber(Stainless Steel) Submersible Pump Dedicated <br /> Peristaltic Pump Dedicated peristaltic Pump <br /> Other <br /> 011ier <br /> pump Depth <br /> LOCK# <br /> 4 <br /> WELL INTEGRITY <br /> f p� l of <br /> SIDE <br />