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OIECI' # 0? 7 Y 3,,yr <br />*ME <br />)CATION <br />_, <br />SECh lnlenuuional lnc. <br />WATER SAMPLE FIELD DATA SHEET <br />PURGED BY 01 <br />SAMPLED BY M <br />WELL D nw-y <br />SAMPLE I D �fT11� <br />QA SAMPLES <br />SITE PURGED i A)- IC 4 START (2400fir)/�_ END (240060 131 <br />ATE SAMPLED <br />3-I f <br />SAMPLE TIME (24001h) <br />Bailer (Teflon) <br />DATE TIME <br />kMPL. _ TYPE <br />Groundwatei t, <br />Surface Water <br />Treatment Effluent <br />Otlict <br />ASING DIAMETER 2" � 3' _ 4-- S"_ 6' _ 8' _ Othcr <br />asing Volume (gallons per foot) (0 t7) (0 38) (0 67) (1 02) (1 50) (2 60) { ) <br />)EPM TO DOTTOM (feel) <br />tEPT11 TO WATER (feet) = <br />VATERCOLUMN HEIGHT (feet) = �•�� <br />CASING VOLUME (gal) <br />CALCULATED PURGE (gal) <br />ACTUAL PURGE (gal) = <br />Bladder Pump <br />FIELD MEASUREMENTS <br />Bladder Pump <br />Bailer (Teflon) <br />DATE TIME <br />VOLUME TEMP CONDUCTIVITY <br />pH <br />COLOR <br />TURBIDITY' <br />(/2.4/+/700hr) <br />(gal) F) (umhos/cm) <br />(units) <br />(visual) <br />(NTU) <br />Peristaltic Pump .• <br />.{(dN/eggrees <br />Other <br />Otlter <br />Pump Dcpdi <br />OZ--� <br />�,� L/7 3 <br />,o <br />_ <br />&RKS <br />SAMPLE INFORMATIONSAMPLE <br />DEPTH TO WATOU 15(D S 1 <br />SAMPLE TURBIDITY. <br />dZ)`7 <br />80% RECHARGE: 3YES <br />MO ANALYSES. <br />ODOR. l6 <br />SAMPLE VESSEL f PRESERVATIVE <br />s✓ <br />Bladder Pump <br />Bader (Teflon) <br />Bladder Pump <br />Bailer (Teflon) <br />Coutrifugal Pump <br />Bailer (PVC) <br />Centrifugal Pump <br />Bailer ( PVC or disposable) <br />Submersible Pump <br />Bader (Stainless Steel) <br />Submerstble rump <br />Bader (Stainless Stccl)� <br />Perrstaltic pump <br />Dedicated <br />Peristaltic Pump .• <br />Dedicated <br />Other <br />Otlter <br />Pump Dcpdi <br />WELL_ INTEGRITY <br />LOCK# <br />_ <br />&RKS <br />— <br />S[GNATURE �/ Page of <br />J <br />