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SECOR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> 10JECT#: IV06 S—des( r0 PURGED BY: 7d Q WELL I.D.: M W`y <br /> CLIENT NAME: 77/M r-- SAMPLED BY: 7-cT8 SAMPLE I.D_: M <br /> LOCATION: 1'f 0 60 F. ! Y $$ L ocke-Fo rd c A QA SAMPLES: <br /> DATE PURGED A-a 9 -- START(2400Irr) 1,): / 7 END (24001ir) 00 <br /> DATE SAMPLED 2 —a S - 6 SAMPLE TIME(2400hr) <br /> SAMPLE TYPE: GroundwaterSurface Water Treatment Effluent Other <br /> CASING DIAMETER: 2. x 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) = CI 1.a2:2 CASING VOLUME(gal) = _. <br /> DEPTH TO WATER(fax) = -7(-. S3 CALCULATED PURGE(gal) = I V <br /> WATER COLUMN HEIGHT(feet) = a of & l ACTUAL,PURGE(gal) <br /> F[ELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP. CONDUCTIVITY pH COLOR TURBIDITY <br /> (2404hr) (gal) (degrees F) (umhoslem) (units) (visual) .{PCU) v;.ru .( <br /> 1,2:az 27 ___ 3./. 9? G,s e-)—< ,-t- G .,. <br /> 2 A8.9b 1,2 :3 r 6 3• y 4 <br /> 499 •ss + � r - <br /> If <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER: 7 G . S 7 SAMPLE TURBIDITY: <br /> 80% RECHARGE: klYm No ANALYSES: p�/��/+ <br /> ODOR: SAMPLE VESSEL/PRESERVATIVE:—3 �O r^-t b 0 ks �-(-- <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump ✓ Bailer(PVC) Centrifugal Pump ✓ Bailer( PVC or disposable) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Bailer(Stainless Steel)f <br /> Peristaltic Pump Dedicated Peristaltic Pump Dedicated <br /> Other: Other- <br /> Pump Depth: <br /> WELL INTEGRITY: ' LOCKr" <br /> 1 <br /> SIGNATURE: <br />