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SECOR International Inc. <br /> W,\TER SAMPLE FIELD DATA SKEET <br /> PROJECT q:7 g & -du1 -u! PURGED BY: ,{�L WELL I.D.: w <br /> CLIENT NAME:.-IM 60a, SAMPLED BY: ll Tl SAMPLE I.D.: /G1 0 <br /> LOCATION: /JI �w� g� aGK t✓tO QA SAMPLES~6— <br /> DATE PURGED r p START(2400hr) END(2400hr) <br /> DATE SAMPLED ("�7'�'1 SAMPLE TIME(24001ir) P 2 ,t D <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) (0.17) (0.38) (0.67) (L.02) {1.50) (2-60) ( } <br /> DEPTH TO BOTTOM(feet) = I oo, 7 -7 CASING VOLUME(gal) = S�, <br /> DEPTH TO WATER(feet) = 7 a •1 s, CALCULATED PURGE(gal) <br /> WATER COLUMN HEIGHT(feet) = T� yZ- ACTUAL PURGE(gal) <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP. ' CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umhoslcm) (units) (visual) (NTU) <br /> F� Iy"43 i 1. O L•8 <br /> ! f CO <br /> `i <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER: Z ► SAMPLE TURBIDITY:CtrC/1 t <br /> 80% RECHARGE: ✓YES NO ANALYSES: <br /> ODOR:' SAMPLE VESSEL I PRESERVATIVE: WA <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Centrifugal Pump Bailer( _PVC orl/isposablc) <br /> K <br /> ✓Submersible Pump Bailer(Stainless Stec[) Submersible Pump Bailer(Stainless Steel) <br /> Peristaltic Pump Dedicated Peristaltic Pump Dedicated <br /> Other: Ocher: <br /> Pump Depth:i_�____� <br /> WELL INTEGRITY. 6aJtq LOCK-#: M/45 tet <br /> REMARKS: <br /> SIGNATURE: Page of (c) <br />