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SECOR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> PROJECT# PURGED BY � WELL I D <br /> CLIENT NAME AMPLED BY _ _ G SAMPLE I D <br /> LOCATION 45�1QQ .,/. f� fZ-0e sfa /yj(/ �r,GI� QA SAMPLES <br /> DATE PURGED STAR 1'(2400hr) END(2400hr) <br /> DATE SAMPLED &�d�7� SAMPLE TIME(2400hr) <br /> SAMPLE TYPE Groundwater`Z 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) (1 02) 7 50) (2 60 <br /> DEPTH TO BOTTOM(feet)_ / CASING VOLUME(gal)_ - <br /> DEPTH TO WATER(feet)= w 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) (wets) (visual) (NTU) <br /> tis <br /> �� SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER SAMPLE TURBIDITY GG�i�j� <br /> 80%RECHARGE YES NO ANALYSES l —Az�* <br /> ODOR. SAMPLE VESSEL/PRESERVATIVE itfG <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bail on) Bladder Pump �ader�(Teflopi)�CentrifugalPump Siler(PVC) POther Cenmfugal C or disposable) <br /> Submemble Pump Bailer(Stateless Steel) Su le Pump Bader(Stainless Steel) <br /> Penstabc Pump Dedicated enstahc Pump Dedicated <br /> Other <br /> Pump Depth <br /> WELL Rn RITY LOCK# <br /> REMARKS G wt 6 <br /> SIGNATURE Page of f <br />