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SLCOR International Inc. <br /> WAFER SAMPLE FIELD r DATA SHEET <br /> R07ECT I_-JO--I p -OC�1 - O PURGED BY M f t A Ll WELL 1 D <br /> CLIENT NAME`'r Vv,Le- Oil SAMPLED BY � SAMPLE I D <br /> LOCATION QA SAMPLES -� <br /> DATE PURGED t START(24UOfir) �2� END(240�hr) EO <br /> DATE SAMPLED SAMPLE TIME(2400hr) <br /> SAMPLE TYPE_ Groundwater Sufface Water Treatment Effluent Other <br /> CASING DIANfETER 2' 1C 3- 4'— 5-- 6-- 8' Other <br /> Casmg Volume- (gallons per foot) X�77(0 17) (0 38) (0 67) (I 02) (1-50) (2 60) rr ( ) <br /> DEPTH TO BOTTOM(fax) = -1 3 CASING VOLUME(gal) = 'J l <br /> DEPTH TO WATER(feet) = �3 CALCULATED PURGE(gal) <br /> WATER COLUMN HEIGHT(feet) -- 79 1-1 ACTUAL PURGE(gal) <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP. CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400th) (gal) (dcgrus F) (unit s ctn) (units) (visual) ` (NTU) <br /> l l53 f D <br /> -40S t o24 �- <br /> Q SAMPLE INFORMATION SAMPLE DEPTH TO WATER �D 0.0� _ _ SAMPLE TURBIDITY <br /> 80%RECHARGE.X YES NO ANALYSES <br /> ODOR IMiX �I( SAMPLE VESSEL/PRESERVATIVE 3 X �b vv4.A VOA- 4G <br /> PURGING EQUIPMENT SAMPLING OUIPMENT <br /> Bladder Pump Bm1cr(Teflon) Bladder Pump Bailer(Teflon) <br /> Ccntnfugal Pump Bailer(PVC) Ccritrifugal Pump Bailer( --PVC or 1�drsposable) <br /> Submex -tblc Pump Bailer(Stainless Steel) Submersible Pump Bailer(Sunless Steel) <br /> Peristaltic Pump Dedicated Pemmitic Pump Dedicated <br /> Orher Other <br /> Pump Depth- <br /> WELL INTECRI I'Y- L;OCK# <br /> REIiARKS <br /> PaEt of <br />