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S'COR International Inc. <br /> WATER SAMPLE REELDD DATA SHEET <br /> PkO1ECT A'. O`i,'7,y 1117 .OnrS PURGED BY: WSJ WELL i.D. <br /> NAME."Tim o A — �-�`�' SAMPLED BY: SAMPLE I D . M-�) <br /> Co <br /> ON. �t_[ oi E, i ••au QA SAMPLES <br /> DATE PURGED z."',� "� START(2400hr) c 1 END(24001st) Z <br /> DATE SAMPLED Z�V?"03 SAMPLE TIME(2400hr) <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 I7) (0 38) (0,67) (1 02) (1.50) (2 60) C ) <br /> DEPTH TO BOTTOM (fect) _ `� t CASING VOLUME(gal) = <br /> DEPTH TO WATER(fat) — O CALCULATED PURGE(gal) <br /> ACTUAL PURGE(gat) <br /> WATER COLUMN HEIGHT(feet) = Z �2 <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (dc reel F) (umhoslem) (units) (visual) (NT(3) <br /> 1,0 <br /> ti <br /> SAMPLE INFORMATION DEPTH TO WATER- �,Q_ "�" �� _ SAMPLE TURBIDITY- O <br /> sax RI~TIARGE:� No <br /> ANALYSES: `��' "TE� <br /> ODOR SAMPLE VESSEL/PRESERVATIVE <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bader(Teflon) Bladder Pump Bailer(Teflon) <br /> Bladder Pump Centrifugal acIcr _PVC or <br /> Centrifugal Pump disposable) <br /> Bader(PVC) �I Pump (Stainless Steel <br /> Submetstblc Pump 2� Bailcr(Stainless Steel) Submersible Pump Bailer( ) <br /> Peristaluc Pump <br /> ` Dedicated Peristaltic Pump Dedicated <br /> Other <br /> Odter <br /> pump Dept <br /> LOCKI! <br /> WELL INTEGRITY <br /> I <br /> REMARKS <br /> Page of t/ <br /> SSONATURE. <br />