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SECOR Intertudional Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> 'U PURGED BY 11/ WELL I D fR <br />'ROlECT �`j 3 �4d SAMPLE I D �� <br />�Le NAME A izt Q-- dM 3 _ SAMPLED BY / — -- <br />�OC.ATION b t-{ t. ' f b 10 { ( QA SAMPLES <br /> SATE PURGED START (24001ir) /_� END (24001ir) <br /> SATE SAMPLED _Lg�! — - <br /> SAMPLE TIME(2400hr) !ij <br />,*AMPLE TYPE Groundwater ' Surface Water Treatment Effluent Other <br />.:ASING DIAMETER <br /> 2- 3- 4- 5- 6- 8' Other <br /> rasing Volume (gallons Per foot) (0 17) (0 38) (0 67) (1 02) (1 50) (2 60) { } <br /> DEPTH TO BOTTOM(feet) = ICASING VOLUME(gal) = 5,� y8 <br /> CALCULATED PURGE(,gal) = d <br /> DEPTH TO WATER(feet) _ �,/ 2 <br /> WATER COLUMN HEIGHT(feet) 01 / ACTUAL PURGE(gal) <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) l) (degrees F) (u,[�hos/ ) (unit-2S) L l) /D <br /> 1 J�!��5 l tl <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER. SAMPLE TURBIDITY <br /> 80% RECHARGE: YES NO <br /> ANALYSES- � N� <br /> ODOR. 1 SAMPLE VESSEL/PRESERVATIVE 300a�-, <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bailer(Teflon) Bladder Pump Bader(Teflon) <br /> Bladder Pump atler _PVC or -disposable) <br /> Centrifugal Pump Bailer(PVC) Centrifugal Pump _ ,r� { <br /> Ba <br /> Bader(Stainless S(eel) Submersible Pump der(Statrdess Steel) <br /> Submersible Pump peristaltic Pump Dedicated <br /> Peristaltic Pump Dedicated <br /> Other <br /> Other <br /> Pump Depth <br /> LOCIUI <br /> WELL INTEGRITY <br /> ARKS <br /> SIGNATURE �i j/►!� Page of <br />