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SECOR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> ROJECT# PURGED BY �yyJ _ WELL 1 D Z)2&_>n)q}q <br /> CLIENT NAME SAMPLED BY SAMPLE I D <br /> LOCATION QA SAMPLES <br /> DATEPURGED START(2400hr) �,�y(Q END(2400hr) _ /0 ;.2^ <br /> DATE SAMPLED SAMPLE TIME(2400hr) jo., <br /> SAMPLE TYPE Groundwater�T 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)= CASING VOLUME(gal)_ Zzjj _ >g!j <br /> DEPTH TO WATER(feet)= _ c�,a5,_ CALCULATED PURGE(gal)_ R, <br /> WATER COLUMN HEIGHT(feet)_ /gyp,7 5' 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 /> 1 i-5'3 Z,0 ,- ztdgs' r� <br /> I <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER 691 SAMPLE TURBIDITY <br /> 80%RECHARGE ;_YES NO ANALYSES <br /> ODOR SAMPLE VESSEL/PRESERVATIVE <br /> I <br /> PURGING EQUIPMENT 4�z SAMPLING EQUIPMENT <br /> r <br /> Bladder Pump �_Bailer o ) Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Centrifugal Pump Bailer ( PVC or}_disposable) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Peristatic Pump Dedicated PensWic Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> WELL INTEGRITY ����-� LOCK# <br /> REMARKS <br /> SIGNATURE Page of <br />