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SECOR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> PROJECT# PURGED BY ��J ' WELL I D <br /> CLIENT NAME It; JAMTLED BY SAMPLE I D <br /> LOCATION `r�� y, / i//� �� �d(� �d G' - QA SAMPLES <br /> DATE PURGED START(2400hr) END(2400hr) <br /> DATE SAMPLED SAMPLE TIME(2400hr) /�p <br /> SAMPLE TYPE Groundwater Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2" 3" 4" S" 6" 8" Other <br /> Casmg Volume (gallons per foot) (0 I7) (0 38) (0 67) (1 02) (1 500) (2-60) ( ) <br /> DEPTH TO BOTTOM(feet)W 141111, CASING VOLUME(gal)= <br /> DEPTH TO WATER(feet)= CALCULATED PURGE(gal)= <br /> WATER COLUMN HEIGHT(feet) ACTUAL PURGE(gal) <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY PH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umhos/cm) (units) (visual) (NTU) <br /> SAMPLE!NFORMATION <br /> SAMPLE DEPTH TO WATER N SAMPLE TURBIDITY G� <br /> 80%RECHARGE YES NO ANALYSES <br /> ODOR. SAMPLE VESSEL/PRESERVATIVES <br /> PURGING EQUIPMENT <br /> SAMPLING EQUIPMENT <br /> Bladder Pump Bail ea) 13ladder Pump Bailer(Teflon <br /> Centrifugal Pump ader(PVC) Centrifugal Pump PVC or disposable) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump ;D,Bailer(Stainless Steel) <br /> Peristatic Pum Dedicated EPenstalic dicated <br /> Other O <br /> epth <br /> WELL INTEGRITY LOCK# <br /> CKs G <br /> � L <br /> SIGNATURE Page of <br />