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I I <br /> SECOR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> rP lECT#: 077:46eePURGED BY: DAMON MINARICH WELL I.D.: <br /> CLIENT NAME: ARCO SAMPLED BY DAMON MINARICH SAMPLE I.D.: <br /> LOCATION: �^ QA SAMPLES: <br /> DATE PURGED START(2400hr) 3:Ss _ END(2400hr) y � <br /> DATE SAMPLED -[0 SAMPLE TIME(2400hr) <br /> SAMPLE TYPE: Groundwater X Surface Water Treatment Effluent Other <br /> CASING DIAMETER: 2" l _ 3" 4" _� 5" 6" $" Other <br /> Casing Volume:(gallons per foot) (0.17) (0.38) (0.67) (1.02) (1.50) (2.60) ( ) <br /> DEPTH TO BOTTOM(feet)= r CASING VOLUME(gal)= S <br /> DEPTH TO WATER(feet)_ -33 CALCULATED PURGE(gal)_ <br /> WATER COLUMN HEIGHT(feet)_ /�r7 _ ACTUAL PURGE(gal)_ <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP. CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umhos/cm) (units) (visual) (NTU) <br /> ter— <br /> i 3 <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER: 1,2&2– SAMPLE TURBIDITY: t: <br /> 80%RECHARGE: L< YES NO ANALYSES: TPH-G BTEX MTBE / VOG <br /> ODOR; SAMPLE VESSEL/PRESERVATIVE: 31r6 S J Oct <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Centrifugal Pump X Bailer ( PVC or X:disposable) <br /> X Submersible Pump Bailer(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Peristalic Pump Dedicated Peristalic Pump Dedicated <br /> Other: Other: <br /> Pump Depth: <br /> WELL INTEGRITY: LOCK#: <br /> REMARKS: <br /> SIGNATURE: Page of <br />