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SEGOR International Inc. <br /> .TER SAMPLE FIELD DATA SHEF <br /> PROJECT#: �� O_.mat�°� PURGED BY: WELL 1.D.: _ /4 w - cl' <br /> CLIENT NAME: Af-co t:k- SAMPLED BY: /rir SAMPLE I.D_: I`{W <br /> CATION: S'1,e -rit,-j cA QA SAMPLES: <br /> DATE PURGED pZ tic <br /> i6 i 4 START(2400111) 135-0 END (240010 0-0 <br /> DATE SAMPLED if6t' SAMPLE TIME(2400hr) l t <br /> SAMPLE TYPE: Groundwater Surface Water Treatment Effluent Other <br /> CASING DIAMETER: 2" 3' 4" 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) = ;L 3 . R CASING VOLUME(gal) = 6 3 al <br /> O <br /> DEPTH TO WATER(feet) = I�'4( CALCULATED PURGE(gal) <br /> WATER COLUMN HEIGHT(feet) _ T' 4'3 ACTUAL PURGE(gal) <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP. CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umbos/cm) (units) (visual) (NTU) <br /> Lj06 S LR.( I lt U544*- WS : <br /> I <br /> C, „SAMPLE INFORMATION ��GlT' <br /> SAMPLE DEPTH TO WATER: T SAMPLE TURBIDITY: <br /> 80% RECHARGE: FS_NO ANALYSES: O f7 ! 'eX/6 <br /> ODOR: S &24!!�±bdo/' SAMPLE VESSEL I PRESERVATIVE: <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump �ailer(Teflon) Bladder Pump ailer(Teflon) <br /> Centrifugal Pump i/ k4ailer(PVC) Centrifugal Pumpy Bailer( _PVC or �dispoSabi') <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Peristaltic Pump Dedicated Peristaltic Pump Dedicated <br /> Other: Other: <br /> Pump Depth: <br /> WELL INTEGRITY: LOCK#: <br /> REMARKS: F iv-5 'rf S 4 V'O v 4 r"LVCJ�' 0 3-0 <br /> SIGNATURE: Page of / <br />