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SEGOR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> ROJECC# PURGED BY �6 — WELL 1 D <br /> CLIENT NAME SAMPLED BY SAMPLE I D <br /> LOCATION QA SAMPLES <br /> DATE PURGED �� � / START(2400hr) �f�Z END(2400hr) 1/(� <br /> DATE SAMPLED /±g2:Lq r SAMPLE TIME(2400hr) <br /> SAMPLE TYPE Groundwater 7S Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2 _ 3' 4' 5" 6" 8' Other <br /> Casing Volume (gallons per foot) (0 17) (0 38) (0 67) (1 02) (1 50) (2 60) ( ) <br /> DEPTH TO BOTTOM(feet)_ 40 CASING VOLUME(gal) <br /> DEPTH TO WATER(feet)= A 70 CALCULATED PURGE(gal) <br /> WATER COLUMN HEIGHT(feet) 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 /> _1C,V <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATERS SAMPLE TURBIDITY c <br /> 80%RECHARGE _.Z_YES NO ANALYSES <br /> ODOR SAMPLE VESSEL/PRESERVATIVE <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> D� <br /> Bladder Pump _X -Bailer ) Bladder Pump Basler(Teflon) <br /> Centrifugal Pump Bailer(PVC) Centrifugal Pump �g Bader ( PVC or disposable) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Bader(Stainless Steel) <br /> Penstalic Pump Dedicated Penstahc Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> WELL INTEGRITY 6ZIZ LOCK# 14�_f' _ <br /> REMARKS <br /> SIGNATURE Page of <br />