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SECOR International Inc_ <br /> WATER SAMPLE FIELD DATA SHEET <br /> �a1 PURGED BY: WELL I.D_: Aj tv ' q <br /> PR0IECT,x: IJQ 3 °i 4tl G <br /> CLIENT NAME: ((".1 E°1 4 SAMPLED BY: SAMPLE I.D.: /"' <br /> LOCATION: C /7/Q LaG� � � QA SAMPLES: <br /> DATE PURGED <br /> START(2400111) f �V END(2400hr) l <br /> _ <br /> DATE SAMPLED '� '� SAMPLE TIME(24001ir) t)5 <br /> SAMPLE TYPE: Groundwater Surface Water Treatment Effluent Other <br /> CASING DIAMETER: <br /> 2- 3. _ 4- 5- 6- 8' Other <br /> � --- -- <br /> Casing Volume: (gallons per foot) (0.17) (0.38) (0.67) (1.02) (1.50) (2.60) ( ) <br /> DEPTH TO BOTTOM(feet) = CASING VOLUME(gal) = �p <br /> DEPTH TO WATER(acct) _ �. J _ CALCULATED PURGE(gal) = I,3• ' <br /> WATER COLUMN HEIGHT(feet) _ L(1 ACTUAL PURGE(gai) _ <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP. CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umhos/cm) (units) (visual) (NTLI) <br /> 1,1 r 53 � I I-Lf __ CIan. L <br /> l ; s616 <br /> .SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER: „ `� S SAMPLE TURBIDITY: <br /> 80% RECHARGE: /YES—NO ANALYSES: <br /> ODOR:' SAMPLE VESSEL/PRESERVATIVE:IJ Dt" t <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> PuBailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Bladder Pump Bladd r Pu Pump Bailer(PVC) Centrifugal Pump ' Bailer( PVC or rdisposable) <br /> Centrgal <br /> Submersible Pump <br /> Baiter Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Peristaltic Pump Dedicated Peristaltic Pump Dedicated <br /> Other: Oilier: <br /> Pump Depth: 7 t5 <br /> WELL INTEGRITY: LOCK-#: C�> <br /> REMARKS: <br /> SIGNATURE: Page L1 of l U <br />