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L <br /> SECOR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> OJECT# PURGED BY WELL I D <br /> CLIENT NAME SAMPLED BY /0,PP7 SAMPLE I D <br /> LOCATION QA SAMPLES <br /> DATE PURGED START(2400hr) '/-S _ END(2400hr) <br /> DATE SAMPLED Q 2-- SAMPLE TIME(2400hr) ?3z:? <br /> SAMPLE TYPE Groundwater, Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2" 3" 4" 5" 6" 8" Other <br /> Casmg Volume (gallons per foot) (0 17) (0 38) (0 67) -(1-0-2) -(1-50) (2 60) ( ) <br /> DEPTH TO BOTTOM(feet) 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 /> Lrl�L� <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH T'O WATER SAMPLE TURBIDITY /✓�"' <br /> 80%RECHARGE YES NO ANALYSES Qx <br /> ODOR SAMPLE VESSEL I PRESERVATIVE C x yQ 0-i e- <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Batle n Bladder Pump Bailer{Te <br /> Centrifugal Pump ailer(PVC) Centrifugal Pump er ( PVC�.rdisposable) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Bailer(Stainless Stee <br /> Penstalic Pump Dedicated Penstali p Dedicated <br /> Other Oth <br /> Depth <br /> WELL INTEGRITY LOCK# <br /> REMARKS <br /> 4±2t MAL �� <br /> SIGNATURE Page of <br />