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SECOR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> J:NAME <br /> T# iG1pj-p0'Z PURGED BY- a WELL i D <br /> VA-6 0;41 SAMPLED BY. IL/L SAMPLE I D <br /> LOCATION QA SAMPLES <br /> DATE PURGED _ j' START(2400hr) END(2400hr) 141:00 <br /> DATE SAMPLED A SAMPLE TIME(2400hr)10: 20 <br /> SAMPLE TYPE- Groundwater Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2' ✓ 3" 4" S' 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 -G! CASING VOLUME(gal) = 2. ;�O <br /> DEPTH TO WATER(feet) — . D 5 - CALCULATED PURGE(gal) _ A9• D <br /> WATER COLUMN HEIGHT(feet) = 1 •g 4 ACTUAL PURGE(gal) _ �'• Z J _ <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP. CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umhos/cm) (units) (visual) (NTU) <br /> g= 2,11 K _fag, t tS&4 <br /> 44 C( q •moo �t k <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER SAMPLE TURBIDITY <br /> 80% RECHARGE.LYES NO ANALYSES <br /> ODOR- SAMPLE VESSEL/PRESERVATIVE <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bailer(Teflon) Bladder PumpBailer(Teflon) <br /> Centrifugal Pump Bader(PVC) Centrifugal Pump —74 <br /> Bailer( _PVC or ldisposable) <br /> Submersible Pump Bader(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Peristaltic Pump Dedicated Peristaltic Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> WELL INTEGRITY D(G LOCK,# <br /> EMARKS <br /> SIGNATURE Page of <br />