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SECOK Interiuvional Inc. <br />WATER SAMPLE FIE -LD DATA SHEET <br />tOJE,GT jr f 17 +f 3til'f9-C';0 <br />PURGED BY , WELL. I D _ mw -_/// <br />�ME 7 )5 <br />SAMPLED BY t SAMPLE I D 7 <br />11 <br />L ex, (till QA SAMPLES <br />OGATION i:. t <ti <br />_ f�^ <br />START (240011r) END (24001u) <br />ATE PURGED ci �3`7i <br />_ SAMPLETIME (2400E(240010 ,9'd <br />ATE SAMPLED <br />AMPLE TYPE Groundwater X^ <br />Surface Water Treatment Effluent Other <br />ASLNG DIAMETER 2- 7) (0 38) IQ 67) (I 02) (I 50) (2 60) ( } <br />using Volume (gallons per foot) <br />CASING VOLUME (gal) / <br />)EP'TH TO BOTTOM (feet) <br />CALCULATED PURGE (gal) <br />)EPTH TO WATER (feet) = �':5 i <br />ACTUAL PURGE (gal) <br />NATER COLUMN HEIGHT' (feet) _ P -e <br />= <br />FIELD MEASUREMENTS <br />CONDUCTIVITY pH COLOR TURBIDn'Y <br />DATE TIME VOLUME TEMP (units) (visual) (NTU) <br />(2400hr) (gal) (^degrees F) (umhoslcm} <br />13 1< <br />1� <br />SAMPLE INFORMATION <br />SAMPLE TURBIDITY <br />SAMPLE DEPTH TO WATER: SS • tv L <br />Box RECHARGE- AYES HO <br />� <br />Bladder Pump <br />ceriwifugal Pump <br />t Submersible Pump <br />Peristaltic Pump <br />Odtet: <br />pump Depth <br />WELL INTEGRITY _/, <br />SIGNATURE <br />ANALYSES: <br />SAMPLE VESSEL 1 PRESERVATIVE <br />Bladder Pump Bailer (Teflon) <br />Bailer (Teflon) Bailer ( PVC or disposable) <br />Bailer (PVC) Centrifugal Pump <br />Batter (Stainless Stcd) Submersible Pump Dedicated <br />Bailer (Stainless Steel) <br />Dedicated �� Pertstaltic Pump rC D <br />Other <br />i <br />LOCKII <br />Page of <br />