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SECOR International Inc <br />WATER SAMPLE FIELD DATA SHEE I <br />'ECTts !. `�7y�/G], �;Gi <br />Pulzo-D 13) <br />VVI I l 1 I) ^1(✓—� <br />CLIENT NAA4L 61-4✓/'F✓ �7 S I �� <br />SAME'LE D l3) <br />SAMI'I I f [) <br />LOCATION C w6Si 1(i irLb.- 4Aq 4,efr CuOS CR <br />QA SAM]'[ LS T <br />DATE 1't1RGLD <br />S 1 Alt 1 (240t]hs) 1 1 <br />f ND (71fH)lu 1 <br />DATESAMPLI i) yv —L' <br />SAMPLE 1IME(2400hr) I 3� <br />SAMPLI_ T) Pl Gcuund%k rtu J% <br />Sus f ac c Watc s 1 Ic itim ni E1lluc it Othcr <br />CASING DIAMI I LR <br />4 <br />i8) (0 G7) (l 02) <br />b 001cl <br />(1 X0) (2 60) I ) <br />Casing Volume {galknn per Isxil) (0 17) <br />(0 <br />DEPTH TO [30T 1 OM (feet) = jt ` fs� <br />CASING <br />VOLUML(eal)= �, 7,q <br />DEPTH TO WATER (feet)CALCULATED <br />PURGL (gal) = 17.32 <br />WATER COLUMN HEIGH l (Icct) = 3`FIs 'z-, <br />ACTUAL PURGE: (g it = I'G. r-' C', <br />HELD MCASUREM£NTS <br />DATE TIME VOLUME <br />TEMP CONDUCTIVITY <br />pH COLOR TURBIDIT) <br />(2400hi) (gal) <br />(d[egreesF) <br />(uuitti) t+isual) (NTU) <br />/70 <br />ff(urnhos/cm) <br />q <br />zt 17 <br />� <br />SAMPLE INFORMATION <br />SAMPLE TURBIDITY Gat.,1 <br />SAMPLE DEPTH TO WATER <br />80% RECHARGE YES NO <br />ANALYSES <br />ODOR SAMPLE VESSEL/ PRESERVATIVE <br />PURGING EQUIPMENT <br />SAMPLING EQUIPMENT <br />Bladder Pump <br />Baiier (Teflon) <br />Bladder Pump <br />Centrifugal Pump <br />Bailer (Teflon) <br />pLBailer ( PVC armdisposable) <br />Centrifugal Pump <br />Submazsible Pump <br />Bailer (PVC) <br />Bailer (Stainless Steel) <br />Submersible Pump <br />Bailer (Stainless Steel) <br />Penstalic Pump <br />Dedicated <br />Penstalic Pump <br />Dedicated <br />Other A 3;LAe <br />Other <br />Pump Depth <br />WELL INTEGRITY <br />LOCKti <br />REMARKS <br />SIGNATURE l <br />Page of <br />