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a <br /> SECOR International Inc, <br /> WATER SAMPLE FIELD DATA SHEET <br /> PROTECT q 9�� PURGCD BY err, WELL 1 D 1rr/V <br /> CLIENT NAME prwev SAMPLED BY _— _ �! SAMPLE 1 D -- <br /> LOCATION .lit' QA SAMPLES <br /> Tin <br /> DATE PURGCD t �� Q START(2400hr) END(24001ir) <br /> DATE SAMPLED 1D�alj�0'T_ SAMPLF TIME(240011r) `�� DO <br /> SAMPLE TYPE Groundwater J\ Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2" 3" 4" 5" 6" x 8" <br /> Casco Volume (gallons per foot 0 17 !`-'�— Other <br /> Casing (g p ) ( } {0 38) (0 b7} (I 02) (l 50) (2 60) ( ) <br /> DEPTH TO BOTTOM(feet)_ ��, G�`� CASING VOLUME(gal) O. �f <br /> DEPTH TO WATER(feet)_ '? 7- CALCULATED PURGE(galS, <br /> WATER COLUMN HEIGHT(feet)= S ACTUAL PURGE(gal) <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umhos/cm) (units) (visual) (NTU) <br /> i <br /> I ' <br /> r SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER 4 SAMPLE TURBIDITY <Z/4fQ=Z{" <br /> 80'X.RECHARGE YES NO ANALYSES <br /> ODOR.- 7;-. SAMPLE VESSEL I 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 )1( s sablc) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Penstalic Pump Dedicated Penstalic Pump Dedicated <br /> Other a~- Other <br /> Pump Depth <br /> WELL INTEGRITY LOCK# Q <br /> REMARKS <br /> SIGNATURE Page of <br />