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SECQR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> PROJECT#: 0�-4. L1 PURGED BY: "/Cr WELL I.D.: <br /> ^LIENT NAME: Pc'�2G0 SAMPLED BY: MY— SAMPLE I.D.: +(\n\t�=1 <br /> TION: N , ST. T` 7 QA SAMPLES: <br /> DATE PURGED N/4 START(2400hr) //p 3 END (2 ltir) D <br /> DATE SAMPLED 11,A SAMPLE TIME(24001rr) J�> _ <br /> SAMPLE TYPE: Groundwater Surface Water Treatment Effluent Other <br /> CASING DIAMETER: 2" 3" 4" X 5- 6` 8" Other <br /> Casing Volume: (gallons per foot) (0.17) (0.38) (0.67) (1.02) (1.50) (2.60) { ) <br /> DEPTH TO BOTTOM(feet) = zr72 CASING VOLUME(gal) = � <br /> DEPTH TO WATER(feet) = I `1,307 CALCULATED PURGE(gal) <br /> WATER COLUMN HEIGHT(feet) = _-- ACTUAL PURGE(gal) aG7 <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP. CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umbos/em) (units) (visual) (NTU) <br /> .Y- — <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER: SAMPLE TURBIDITY: <br /> 80% RECHARGE-/YES�NO ANALYSES: lr�C t <br /> ODOR: SAMPLE VESSEL/PRESERVATIVE: k2 J �--- <br /> PURGING ENT SAMPLING EQUIPMENT <br /> BladderPu Baiter(Teflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal P p l Bailer(PVC) Centrifugal Pump Bailer( _PVC or disposable) <br /> Submersible 4rnp Bailer(Stainless Steel) Submersible Pump Bailer(Stainless Stee!)� <br /> Peristaltic Pu Dedicated Peristaltic Pump Dedicated <br /> Other: Other: <br /> Pump Depth: <br /> WELL INTEGRITY: LOCK#: I <br /> REMARKS: <br /> SIGNATURE: y <br /> Page of <br />