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SECOR International Inc. <br />WATER SAMPLE FIELD DATA SHEET <br />0 CT II Q't -]. `13IIYf•C 5e PURGI-D BY WELL I D MW'ry <br />CLIENT NAME Cstsilee l f" S77-1/ SAMPLED BY �ii SAMPLE I D Mwj <br />LOCATION k1 f✓AS7 ta-lrt4f`+l YN-'E C>/t% cA QA SAMPLES <br />DATEPURGED <br />DATE SAMPI.CD <br />SAMPLL TZ PI- <br />-)- - 411 <br />(,iuundti+aiel ;— <br />CASING DIA,MF1 CR 2 --/- <br />Casing Volume (gallouti pel fool) (0 17) <br />DEPTH TO BO TTOM (IcL0 <br />DEPTH TO WATER (feet) =/•,qy <br />WATER COLUMN HEIGHT (tact) 10, 4r <br />SIART (2400hr1 1314, END (2400N) JTri <br />SAMI'LL TIMI (2400hr) f jqo <br />Surl I« W Itu Treatment Clfluent Other <br />4 G S Othu <br />(0 18) (0671 (102) (1 50) (260) l ) <br />CASING VOLUME (gall= / t 7,4 <br />CALCULATED PURGE (gal) = �, f <br />ACTUAL PURGE (gal) = <br />80% RECHARGE YES NO <br />ANALYSES <br />ODOR 2K SAMPLE VESSEL/PRESERVATIVE <br />_Bladder Pump <br />Centrifugal Pump <br />pe—Submersible Pump <br />Penstalic Pump <br />Other <br />EQUIPMENT SAMPLING EQUIPMENT <br />Bailer (Teflon) Bladder Pump Bailer (Teflon) <br />Bailer (PVC) Centrifugal Pump Bailer ( PVC or V- disposable) <br />Bailer (Stainless Steel) Submersible Pump Sailer (Stamless Steel) <br />Dedicated Penstalic Pump Dedicated <br />Other <br />Pump Depth <br />WELL INTEGRITY .-e�!'�►� <br />REMARKS <br />LOCK# df <br />SIGNATURE ! /r Page of <br />FIELD MEASUREMENTS <br />DATE <br />3 -e4,1 -e,, <br />TIME; <br />(2400hr) <br />/ 3.�3 <br />f25— <br />VOLUME <br />{gal) <br />1 <br />TEMP <br />(degrees F) <br />70, <br />CONDUCTIVITY <br />(umhos/cm) <br />/y .-x w0 <br />pH <br />(units) <br />7. e ! <br />COLOR TURBIDITY <br />(visual) (NTU) <br />c come'l tots <br />SAMPLE DEPTH TO WATER <br />SAMPLE INFORMATION <br />SAMPLE TURBIDITY LG t~1 <br />80% RECHARGE YES NO <br />ANALYSES <br />ODOR 2K SAMPLE VESSEL/PRESERVATIVE <br />_Bladder Pump <br />Centrifugal Pump <br />pe—Submersible Pump <br />Penstalic Pump <br />Other <br />EQUIPMENT SAMPLING EQUIPMENT <br />Bailer (Teflon) Bladder Pump Bailer (Teflon) <br />Bailer (PVC) Centrifugal Pump Bailer ( PVC or V- disposable) <br />Bailer (Stainless Steel) Submersible Pump Sailer (Stamless Steel) <br />Dedicated Penstalic Pump Dedicated <br />Other <br />Pump Depth <br />WELL INTEGRITY .-e�!'�►� <br />REMARKS <br />LOCK# df <br />SIGNATURE ! /r Page of <br />