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SECOR Intenuitional Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> PROJECT#::j[rktX)-Wq-g'Z PURGED BY: TY11� WELL LD.: taw 3 <br /> LENT NAME: R� 14 IA 3 SAMPLED BY: -M1L— SAMPLE I.D.:�1(J3 <br /> LOCATION: �, QA SAMPLES: <br /> DATE PURGED - } START (2400hr) END (2400hr) <br /> DATE SAMPLED -� ,'cl SAMPLE TIME(2400iir) <br /> SAMPLE TYPE: Groundwater Surface Water Treatment Effluent Other <br /> CASING DIAMETER: 2' 3' 4- X 5'� 6' _ 81 _ Other <br /> Casing Volume: (gallons per foot) (0.17) (0.38) (0.67) (1.02) (1.50) (2.60) ( ) <br /> DEPTH TO BOTTOM (feet) CASING VOLUME(gal) _ . b(o <br /> DEPTH TO WATER(feet) = }Z °`�" CALCULATED PURGE(gal) _ <br /> WATER COLUMN HEIGHT(feet) _ ^ 1Z .D 3 ACTUAL PURGE(gal) <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP. CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umbos/cm) (units) (visual) (NIU) <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER: . SAMPLE TURBIDITY: <br /> 80% RECHARGE: YES _NO ANALYSES: `► <br /> _ Rr YY1rRE C�OL� �0?�1 Notes (82 <br /> ODOR: -01- SAMPLE VESSEL/ PRESERVATIVE: v <br /> PURG UIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump N� Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Centrifugal Pump Bailer( _PVC or disposable) <br /> T�( Submersible Pump Bailer(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Peristaltic Pump Dedicated Peristaltic Pump Dedicated <br /> Other: Oilier: <br /> Pump Depth: <br /> WELL INTEGRITY: LOCK#. <br /> REMARKS: <br /> SIGNATURE:2ZZ <br /> /x Page of <br />