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SECOR International Inc. <br /> WATER SAMPLE FIELD DATA SKEET <br /> PROJECT 11 07? yj Sv,4 no$ PURGED BY WELL I-DZ� ^� <br /> CNAME f}��ca -Z-05-3 SAMPLED BY SAMPLE I D <br /> M-7,10 -Z-05-3 <br /> N 2 i I 4 QA SAMPLES <br /> DATE PURGED Q ( START(2400110 `\ Z- END (2400110 3 S <br /> DATE SAMPLED 4 -( -i SAMPLE TIME(2400hr) 3 <br /> SAMPLE TYPE Groundwa[er 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) = Z CASING VOLUME(gal) = <br /> DEPTH TO WATER(feet) _ _^ _ CALCULATED PURGE(gal) = <br /> WA'T'ER COLUMN HEIGHT(feet) = ACTUAL PURGE(gal) = NJ � <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umhos/cm) (units) (visual) (NTU) <br /> SAMPLE INPrORMATION <br /> SAMPLE DEPTH TO WATER SAMPLE TURBIDITY <br /> 80% RECHARGE)( YES NO ANALYSES -�N r� rot <br /> ODOR SAMPLE VESSEL I PRESERVATIVE .4 S t N <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump1i� Bader(Teflon) Bladder Pump Bader(Teflon) <br /> Centrifugal Pu Bailer(PVC) Centrifugal Pump _ Bailer( PVC or V_disposable) <br /> Submersible P p Z p Bader(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Peristaltic Pump Dedicated Peristaltic Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> WELL INTEGRI , +4E LOCIU! - VA <br /> REMARKS <br /> SIGNATURE - Page of �/ <br />