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sEcm international Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> PURGED BY. WIa I D rpt <br /> �� <br /> oL.c,t:Y� �1 SAMPLED BY: SAMPLE I D : <br /> NAME <br /> `FATION 000 <br /> QA SAMPLES <br /> DATE PURGED <br /> START(2400hr) � END (2400110 <br /> DATESAMPLED l�" SAMPLE TIME(24001ir) <br /> kka <br /> SAMPLE TYPE Groundwater <br /> Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2" >�-, 3" 4' 5' 6' 8' Other <br /> Casing Volume (gallons per foot) (0 f7) (0 38) (0 67) (1 02) (1 50) (2 60) ( ) <br /> DEPTH TO BOTTOM (feet) = 1 2 Z CASING VOLUME(gal) = <br /> DEPTH TO WATER(feet) _ CALCULATED PURGE(gal) <br /> WATER COLUMN HEIGHT(feet) = 2�E�� ACTUAL PURGE(gal) � d <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> degrees F) (umbos/ ) nits (visual) (NTU) <br /> \(O -A.4s- �L4 :1 , \y <br /> SAMPLE-INFORMATION <br /> SAMPLE TURBIDITY V <br /> SAMPLE DEPTH TO WATER <br /> 50% RECHARGE-�—NO <br /> ANALYSES IN> O?` J <br /> ODOR. <br /> kA LSAMPLE VESSEL f PRESERVATIVE <br /> PURGING EQUIPMENT _ SAMPLING EQUEQUIPMENT <br /> Bladder Pump Bailer(Teflon) <br /> Bladder Pump Bailer(Teflon) <br /> Bader(PVC) Centrifugal Pump ^�$atler( _PVC or disposabie) <br /> Centrifugal Pump Submersible Pump Bader(Stainless Steel) <br /> Submersible Pump 2 ran `^ Bader(Stainless Steel) Dedicated <br /> Peristaltic Pump <br /> Dedicated peristaltic Pump <br /> Other <br /> Other <br /> Pump Depth LOCC) <br /> K/ <br /> WELL INTEGRITY <br /> REMARKS <br /> Page of <br /> SIGNATURE. <br />