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SECOR International Inc <br />VVA I ER SAMPLE PILLD DA I A SHI' I� 1 <br />PRUJI_C l t+ r�] 7, �3`yCI. Oro <br />D <br />Pl, IR61 13) <br />)/�irJ <br />WI l l I ll /l1 w <br />CLILNT NAMI CNbl.L.?y f-577_5 <br />ti <br />Othu <br />Ca,utig % olul„c Q. ill.m, pea loot) <br />LOCAI ION Ye, c,..r T /��1TL&+/d IIf-IS (,-'Cy, - <br />4 <br />QA 5AMPI I S ZqL <br />(1 ;0) <br />DAII:PUROID ",11�3-11 <br />111,kI] _1400111) <br />_C, <br />IND('24Whi1 (,�3Y <br />DAIFSANIN11) �cv <br />5A,17PII IIM1 (2400111) <br />VOl UML (gall <br />SAMPL-1- I ) PI GI 01.1116%k +tit <br />')ilil iii 11' u. i <br />1 is Itc111 I Itluirit 001LI <br />CASING DIAMI_l I R <br />Bailer (Teflon) <br />, <br />6 <br />ti <br />Othu <br />Ca,utig % olul„c Q. ill.m, pea loot) <br />10 17) <br />(0 +4) <br />to 671 (1 02) <br />(1 ;0) <br />(3 60) <br />( ) <br />DEPT H 10 BOTTOM (Icct) _ <br />�tf' ell) <br />CASING <br />VOl UML (gall <br />DEPTH 10 WATER (feet) = <br />J,( &S <br />CALCULA <br />I ED PURGE (gal) <br />WATER COLUMN NEIGH f I Leet) <br />ACTUAL PURGE (gal) <br />FIELD MEASUREMENTS <br />DATE TIME <br />Vol -(Alt- <br />TEMP <br />CONDUCTIVITZ <br />pH <br />COLOR <br />TURBIDITY <br />(2400hr) <br />(gal) <br />(degrees F) <br />(umhos/cm) <br />(units) <br />(visual) <br />(NI U) <br />/Cir <br />] 7 <br />�%wv <br />`+`1Es/ <br />r✓ <br />7�•3 <br />h • <br />!r' SG <br />-1 1 <br />�_ <br />SAMPLE INFORMATION <br />SAMPLE DEPTH TO WATER <br />80% RECHARGE YES NO ANALYSES <br />ODOR SAMPLE VESSEL / PRESERVATIVE <br />PURGING EQUIPMENT <br />Bladder Pump <br />Bailer (Teflon) <br />Centrifugal Pump <br />Bailer (PVC) <br />Submersible Pump <br />Bailer (Stainless Steel) <br />Penstalic Pump <br />Dedicated <br />O>itier ,401,1-6X ,oma SPUS�'CaC <br />� — <br />Pump Depth <br />WELL INTEGRITY <br />REMARKS <br />SAMPLE TURBIDITY t -J'W <br />SAMPLING EQUIPMENT <br />Bladder Pump Bader (Teflon) <br />Centrifugal Pump jy`Bailer ( PVC or_disposable) <br />Submersible Pump Bailer (Stainless Steel) <br />Peristaltic Pump Dedicated <br />Other <br />LOCK# �S <br />SIGNATURE f -� Page of <br />