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SECOR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> PROJECT# 00005 ,00-2r PURGED BY- ILJL WELL I D L0-:1 <br /> NAME %1;A e 0 t-(, SAMPLED BY. /L/�, SAMPLE I D.-_ 1,c,7 <br /> TION AAA j QA SAMPLES <br /> DATE PURGED START(2400hr) END(2400hr) v= 3 <br /> DATE SAMPLED SAMPLE TIME(2400hr) S^ �J <br /> SAMPLE TYPE Groundwater ✓ Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2' Z 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) 2,q r I CASING VOLUME(gal) = Z. <br /> DEPTH TO WATER(feet) = (�j. 2 Z CALCULATED PURGE(gal) = g 30 <br /> WATER COLUMN HEIGHT(feet) = f(o Z°t ACTUAL PURGE(gal) = $= S <br /> FIELD MEA.SUMMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gat) (degrees F) (umhoslem) (units) (visual) (NTLI) <br /> 00: 2s ?-IS _ 2LI [S(o - — T*j _ 546ai- <br /> �� o $. 108.3 (-!60 _ a <br /> SAMPLE INFORMATION - <br /> SAMPLE DEPTH TO WATE�- SAMPLE TURBIDITY <br /> 80% RECHARGE t YES NO ANALYSES l <br /> ODOR SAMPLE VESSEL 1 PRESERVATIVE <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Centrifugal Pump --/-Bailer( PVC or /disposable) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Batter(Stainless Steel) <br /> Peristaltic Pump Dedicated Peristaltic Pump Dedicated <br /> Other. Other <br /> Pump Depth <br /> WELL INTEGRITY t�L _ LOCK# <br /> REMARKS _ <br /> SIGNATURE p Page l of <br />