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SEC OR 1werwaional Inc. <br /> WATER SAMPLE FIELD DATA SKEET <br /> PURGED BY pp WELL I D <br /> AE <br /> 'P-OjF- r# 077• �C9�,05D SAMPLED BY f1{�� SAMPLEI D <br /> 41�NAME MCO 3 <br /> QA SAMPLES <br /> ACAT ION <br /> ]ATE PURGED 4A,9-k0— START(240010 V CND (24001ir) <br /> ]ATE SAMPLED 2 SAMPLE TIME(2400tir) <br /> Surface Water Treatment Effluent Oilier <br /> ;AMPLE TYPE Groundwater <br /> z. )( 3- q- _ 5'_ G` � S- Otlicr <br /> CASING DLA-METER 7 (0 G7) (l 02) (l 50) (z GO)– (0 38) { ) <br /> Casing Volume (gallons per foot) { } <br /> CASING VOLUME (gal) = L Q <br /> DEPTH TO BOTTOM (feet) = <br /> CALCULATED PURGE(oaf) – <br /> Drj7aH TO WATLR(feet) <br /> WATER COLUMN HEIGHT(feet) = � a ACTUAL PURGE(gal) _ � ' <br /> FIELD MEASUREMENTS <br /> TEMP CONDUCTIVITY P14 COLOR TURBIDITY <br /> DATE TIME VOLUME <br /> (dcgrc (units) (visual) <br /> 400hr) (gal) (NTT I) <br /> 57 2z- 401v <br /> ® <br /> SAMPLE INFORMATION <br /> SAMPLETURBTDITY- <br /> SAMPLE DEPTH TO WATER <br /> 80% RECHARGF– YES NO ANALYSES- � <br /> ODOR: SAMPLE VESSEL/ PRESERVATNE _ <br /> NG EQUIPMENT <br /> PURGING EQUIPMENT SAMP[.I <br /> Bladder Pump Bailer(Teflon) <br /> Bladder Pump Bailer(Teflon) Centrifugal Pump –Yrs Bailer( _PVC or _Kdtspasablc) <br /> Centrifugal Pump Bailer(PVC) <br /> Sailer(Stainless Steel) Submersible Pump Bailer(Stainless Steil) <br /> Submersible Pump Peristaltic Pump Dedicated <br /> Penstaltic Pump Dedicated <br /> oilier <br /> Oma. <br /> Pump Dept <br /> LOCIU! <br /> WELL INTEGRITY GrrD�� <br /> RKS +b 2 <br /> Page of <br /> SIGNATURE ` <br />