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SECOR International Inc- <br /> WATER SAMPLE FIELD DATA SHEET �y <br /> PROJECT k © 1 05() PURGED BY WELL I D <br /> CLIENT NAME SAMPLED BY SAMPLE I D W `3 <br /> LOCATION W QA SAMPLES <br /> DATE PURGED IrD START(2400hr) j END(2400hr) <br /> DATE SAMPLED SAMPLE TIME(2400hr) <br /> SAMPLE TYPE Groundwater^ <br /> Surface Water Treatment Effluent Other <br /> 3 4 5" 6 8. Other <br /> CASING DIAMETER 2' (1 02) (1 50) (2 60) ( ) <br /> Casing Volume (gallons per foot) (0 17) (0 38) (0 67) <br /> DEPTH TO BOTTOM(feet) CASING VOLUME(gal) <br /> DEPTH TO WATER(feet)= CALCULATED PURGE(gal) <br /> WATER COLUMN HEIGHT(feet)= r ACTUAL PURGE(gal) <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY(visual) (BTU) <br /> (2400hr) (gal) (degrees F) (umhoslcm) <br /> b 1 ,o � V35 � 4 — >�' aw <br /> SAMPLE INFORMATION <br /> �` SAMPLE'IURBIDITY /tai <br /> FSAMPLE DEPTH TO WATER ,J r <br /> RECHARGE YES NO <br /> ANALYSES Q �( <br /> ODOR xr 61+7' SAMPLE VESSEL I PRESERVATIVE <br /> SAMPLING EQUIPMENT <br /> PURGING EQUIPMENT <br /> Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Bladder Pump Bader ( PVC or�disposable) <br /> KCentnfugal Pump Bader(PVC) Centrifugal Pump <br /> Bailer(Stainless Steel) Submersible Pump Bailer(Stamiess Steel) <br /> Submersible Pump Dedicated <br /> Penstalic Pump Dedicatedr� Penstalic Pump <br /> Other <br /> Other <br /> Pump Dept j' <br /> INTEGRITY011 <br /> — LOCK# U �r� l <br /> REMARKS <br /> Page /r of <br /> SIGNA'iURE <br />