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SECOR ,IntenuMonal 111c. <br /> WATER SAMPLE FIELD DATA SHEET ^� <br /> WELL I D (IN'ROtEC � O'1���� �da� PURGED BY _ r�J <br /> I' �. A r <br /> NAME _'erre— �'1 - �"a� ""`� SAMPLED BY SAMPLE I D PAW <br /> aN Jg000 E. QA SAMPLES <br /> 3A'I'E PURE <br /> CD 2--V? —PP START(2400hr) y l �_ CND (240011r) IcZ 1 <br /> :)ATE SAMPLED Z�t�`�00 SAMPLE TIME(2400hr) <br /> 3AMPL.E TYPE Groundwater Surface Water Treatment Effluent Odter <br /> 2" A 3" 4" 5'--- 6- 8' Ochcr <br /> CASING DIAMETER <br /> Castrtg Volume (gallons per foot) (0 I7) (0 38) (0 67) (1 02) (1 50) (260) <br /> DEPTH TO BOTTOM (feet) , t S CASING VOLUME(gal) 4 1 <br /> DEPTH TO WATER(feet) <br /> (o`l (�'� CALCULATED PURGE(gal) <br /> -- __ <br /> WATER COLUMN HEIGHT(feet) _ <br /> L1 2_6 ACTUAL PURGE(gal) <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOY <br /> UR TURB DIT <br /> (2400hr) (gal) (degrees F) (um (units) (visual) (I`Hv) <br /> lZ <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER �Z SAMPLE TURBIDITY <br /> l <br /> &076 RF�CIiARGE NO ANALYSES <br /> ODOR_ <br /> ~♦ � SAMPLE VESSEL I PRESERVA'T'IVE V <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Ballo(Teflon) Bladder Pump Bailer(Teflon) �/ <br /> Bladder Pump ader _PVC or /disposable) <br /> Centrifugal Pump Bailer(PVC) Centrifugal Pump _�LF3 { <br /> Submersible Pump 2 Bailer(Stainless Steel} Submersible Pump Baiter(Stainless Steel) <br /> Dedicated Peristaltic Pump Dedicated <br /> Pcnstaltic Pump <br /> Other <br /> Other <br /> Pump Depth <br /> LOCK# <br /> WELL INTEGRITY <br /> REMARKS _ <br /> Page of <br /> l� <br /> SIGNATURE <br />