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SECOR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> ORO)ECT PURGED BY WELL I D <br /> CLIENT NAME _ r�aJ SAMPLED BY .0 SAMPLE[ Dry/►-tr <br /> LOCATION �— <br /> �'�.. _.. QA SAMPLES <br /> DATE PURGED STA R r(24 00hr) _/V 7END(24001ir)DATESAMPLED (� SAMPLE TIME(2400hr)SAMPLE TYPE Groundwater Surface Water Treatment Efflue011ier <br /> i <br /> CASING DIAMETER 2" 3 4" 5" 6" 8" Other <br /> Casing Volume (gallons per fool) (0 17) (0 38) (0 67) (1 02) (I X5O) (2 00) ( ) <br /> i <br /> DEPTH TO BOTTOM(feet)_ _ «. CASING VOLUME(gal) <br /> DEPTH TO WATER(feet) CALCULATED PURGE(gal) <br /> i <br /> WATER COLUMN HEIGHT(feet)_ •j 77!j ACTUAL PURGE(gal)_ �Q <br /> FIELD MEASUREMENTS <br /> i <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umhos/em) (units) (visual) (NTU) <br /> ( <br /> 1 SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER SAMPLE TURBIDITY <br /> 90%RECHARGE YES NO ANALYSES <br /> ODOR. _ SAMPLE VESSEL/PRESERVATIVE <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Centrifugal Pump Bailer ( PVC or disposable) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Bailer(Stateless Steel) <br /> Peristatic Pump Dedicated Penstalio Pump Dedicated <br /> Otherd.�� ..� � ( Other <br /> Pump Depth <br /> WELL INTEGRITY Q �'" LOCK# fp <br /> SIARKS <br /> SIGNATURE Page of <br />