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SECOR International Inc. ' <br /> WATER SAMPLE FIELD DATA SHEET <br /> PROJECT <br /> �«1.?e 4'311 1 Ok O PURGED BY WELL I D � <br /> H !�, ' <br /> CLIENT NAME AR10j SAMPLED BY _ SAMPLE I D �� <br /> r <br /> LOCATION Q� W S O _ QA SAMPLES <br /> - DATE PURGED— =— - - -� �_ --- _— START_(2400hr)� END{2400hr) T ��Q <br /> DATE SAMPLED - SAMPLE TIME(2400hr) _ <br /> SAMPLE TYPE roundwater� 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) (1 50) (2 60) ( ) <br /> DEPTH TO BOTTOM(feet) CASING VOLUME(gal) <br /> DEPTH TO WATER(feet)= 6 r 1373 CALCULATED PURGE(gal) <br /> WATER COLUMN HEIGHT(feet)_ �. ACTUAL PURGE(gal)_ tO <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umhos/cm) (units) - (visual) (NTU) <br /> SAMPLE INFORMATION <br /> SAMPLE DEPT11 TO WATER r f SAMPLE TURBIDITY Q I� <br /> � . 1 tA . _ <br /> 809GRECHARGE KYES NO ANALYSES D 6 t5 <br /> ODOR SL. SAMPLE VESSEL/PRESERVATIVE <br /> SIL <br /> AS <br /> PURGING EQMENT SAMPLING EQUIP <br /> UIPMENT <br /> Bladder PumpBader(Ti#lenir7i Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Centnfugal Pump - )C Bailer ( - PVC or__�S-disposable) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Bader(Stainless Steel) <br /> Penstalic Pump Dedicated Penstalic Pump Dedicated <br /> Other Other <br /> Pump Depth ,C <br /> WELL INTEGRITY LOCiCiI e <br /> REMARKS <br /> SIGNATURE r Page �af <br />