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SECQR International Inc. <br />WATER SAMPLE FIELD DATA SHEET <br />16JECT # ?7 PURGED BY 114 WLLLID PW 4 <br />CLIENT NAME CM:P-,-r,✓ 9 y 7Z5 SAMPLED BY �/ f SAMPLE I D /A ,, h <br />LOCATION 7r WS i /1 GQ,�+1� jal� i l4 QA SAMPLES ? <br />DATE PURGED 3`,-��C <br />COLOR <br />DATCSAMPLLD <br />FIELD MEASUREMENTS <br />SAMPLL TYPE Groundwater <br />TIME <br />CASING DIAMETER '_ <br />TEMP <br />Ca,mg \,olunic (galkm, her t0 00 <br />(0 17) <br />s rART (2400hr) 13 7 I LND (2400hi) /Y18 <br />SAMPLE TIME (2400hr) <br />SUrfaLe Water Treauncni Effluent Other <br />DEPTH TO BOTTOM (lect) _ ('j-✓ <br />DEPTH TO WATER (feet) = — <br />WATER COLUMN HEIGHT (feet) = <br />d 5 <br />(0 38) (0 67) <br />6 S Other <br />(1 02) (1 50) (2 60) 1 ) <br />CASING VOLUME (gal) = /i V <br />CALCULATED PURGE(gal) = 7, 74 <br />ACTUAL PURGE (gal) = s'00 <br />80% RECHARGE YES NO ANALYSES <br />ODOR a SAMPLE VESSEL PRESERVATIVE <br />Bladder Pump <br />Centrifugal Pump <br />Submersible Pump <br />Penstalic Pump <br />Other <br />Pump Depth <br />WELL INTEGRITY G �� <br />REMARKS <br />Bailer (Teflon) <br />Basler (PVC) <br />Basler (Stainless Steel) <br />Dedicated <br />pH <br />COLOR <br />TURBIDITY <br />FIELD MEASUREMENTS <br />DATE <br />TIME <br />VOLUME <br />TEMP <br />CONDUCTIVITN <br />(2400hr) <br />(gal) <br />(degrees F) <br />(umhoskm) <br />�q <br />J <br />Ic. 93 <br />S_ <br />13.5 <br />y <br />7 Ot5 <br />10 .5 <br />SAMPLE INFORMATION <br />SAMPLE DEPTH TO WATER <br />80% RECHARGE YES NO ANALYSES <br />ODOR a SAMPLE VESSEL PRESERVATIVE <br />Bladder Pump <br />Centrifugal Pump <br />Submersible Pump <br />Penstalic Pump <br />Other <br />Pump Depth <br />WELL INTEGRITY G �� <br />REMARKS <br />Bailer (Teflon) <br />Basler (PVC) <br />Basler (Stainless Steel) <br />Dedicated <br />pH <br />COLOR <br />TURBIDITY <br />(units) <br />(visual) <br />(NrU) <br />Z�rlWl <br />Awo <br />SAMPLE TURBIDITY /'1.00 <br />Bladder Pump <br />Centrifugal Pump <br />Submersible Pump <br />Penstalic Pump <br />Other <br />.ING EQUIPMENT <br />Bailer (Teflon) ,/ <br />Bailer ( PVC ort disposable) <br />Bailer (Stainless Steel) <br />Dedicated <br />LOCK# YL7 <br />SIGNATURE/ Page of <br />