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SECOR International Inc. <br /> / WATER SAMPLE FIELD DATA SHEET <br /> PROTECT/f 7600—�03—o y PURGED BY WELL I D �^ <br /> CLLENT NAME 1'14W6 �� SAMPLED BY SAMPLE I D <br /> . LOCATION �yz y �G,>- 5. --AJ> QA SAMPLES <br /> DATE PURGED START(24001tr) / 3� CND(2400hr) <br /> DATE SAMPLED /Z SAMPLE TIME(24001ir) I �� <br /> SAMPLE TYPE Groundwater Surface Water Trcatntent Effluent Other <br /> CASING DIAMETER 2" 3' 4- 5- 6' 8- Other <br /> Casing Volume (gal[ons per foot) (0 l7) (0 38) (0 67) (t 02) (I 50) (2 60) ( ) <br /> DEPTH TO BOTTOM (feet) = 7• CASING VOLUME(gal) = <br /> DEPTH TO WATER(feet) = Z0 CALCULATED PURGE(gal) _ <br /> WATER COLUMN HEIGHT(f=) = ACTUAL PURGE(gal) _ <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY PH COLOR TURBIDITY <br /> (2400hr (gal) (degrees t') (umbo Icm) (units) (visual) (NTU) <br /> L��=fb � G -Z I. r�� ],D GG Gave/ <br /> SAMPLE INFORMATInN <br /> SAMPLE DEPTH TO WATER �0' Z SAMPLE TURBIDITY <br /> $0% RECHARGE YES NO ANALYSES <br /> �I/l --�—z <br /> ODOR ON's SAMPLE VESSEL 1 PRESERVATIVE <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bader(Teflon) Bladder PumpBadcr(Teflon) / <br /> Centrifugal Pump Bad `xer(PVC) Centrifugal Pump Bailer( _PVC or Ncdtsposablc) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Bader (Stainless Steel) <br /> Peristaltic Pump Dedicated Peristaltic Pump Dedicated <br /> Other Oilier <br /> Pump Depth <br /> WELL INTEGRITY al _ _ LOC[: <br /> REMARKS <br /> SIGNATURE Page of — <br />