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SECQR Interrtalro/ial Inc. <br /> WATER SAMPLE FIELD DATA SKEET <br /> Rome a PURGED BY 11�1, � WELL I D <br /> U9 NAME �ZLd .5'j-5.5'j-5SAMPLED BY_ �y"� SAMPLE i D <br /> iOC`1l nON QQ QA SAMPLES <br /> IA'[E PURGEDQ(} START(2400hr) 02,X0 CND(24=1r) Q <br /> ATESAMPLED I SAMPLE TIME(2400th) 61'4,0 <br /> AMPLE TYPE Groundwater X Surface Water Treatnicnt Effluent Other <br /> :ASING DIAMCTER 21 3' 4- y 5' 6- 8" Other <br /> : sWwg Volume (gallons per foot) (0 l7) (0 38) (0 67) (i 02) (1 50) (2 60) <br /> 3EPTH TO BOTTOM(feet) _ :73,0 CASING VOLUME(gal) <br /> I)EPTH TO WATER(feet) = 56 ,35- CALCULATED PURGE(gaf) <br /> WATER COLUMN HEIGHT(feet) _ � '�S ACTUAL PURGE(gat) <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP_ CONDUCTIVITY PH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umh �) <br /> oslcm) (units) (visual) ( ) <br /> SAMPLE DEPTH TO WATER; ��. �j`1 SAMPLE INFORMATION SAMPLE TURBIDITY. <br /> 8(1x REKWARGE YES NO ANALYSES• <br /> ODOIL-W t —')tj(,#T SAMPLE VESSEL./PRESERVATIVE <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Putiip Bader(Teflon) Bladder Pump Batter(Teflon) <br /> Ceninfugal Pump Bailer(PVC) Centrifugal Pump Bailer( PVC or disposable) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump _Bailer(Stainless Steel) <br /> Ptristattic Pump Dedicated Peristaltic Pump Dedicated <br /> Uthcr: Other <br /> Pump Depth <br /> WELL INTEGRITY I LOCK# L-r <br /> ttEMAlucs A('t f oF f uR6E �oL <br /> s acv Try wF.t_rr 7-0 . 176 , *W 1_,C4 <br /> &- L a S AL 0 )D ))i CSS <br /> S CIKATURE_ i Page of <br />