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SECOR International Inc <br /> WATER SAMPLE FIELD DATA SHEET <br /> PROJECT# Ili���d�3�oi PURGED BY — WELL I D ~ Z -- <br /> tENI'NAME �I/`� 70 f-3 SAMPLED BY e /f �-+' S SAMPLE I D <br /> LOCATION � ``,,}C -r- <br /> -, <br /> QA SAMPLES <br /> DATE PURGED /iJm /L START(2400hr} y� END (2400hr) <br /> DATE SAMPLED � r�g SAMPLE TIME(24W[ir) /"V:573 <br /> SAMPLE TYPE Groundwater Jt Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2" 3" 4" 5"_ b" 8" Other <br /> Casuig Volume (gallons per foot) (0 17) (0 38) (0 67) (102) (1 50) (2 60) ( ) <br /> DEPTH TO BOTTOM(feet) = Z C7 6 CASING VOLUME(gal) _ <br /> DEPTH TO WATER(feet) _ /-,7 o S CALCULATED PURGE(gal) _ <br /> WATER COLUMN HEIGHT(feet) = ACTUAL PURGE(gal) _ <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (24Whr) (gal) (degrees F) (umhoslcm) (units) (visual) (NTU) <br /> XTO <br /> SAMPLE I FORMATION <br /> SAMPLE DEPTH TO WATER d SAMPLE TURBIDITY <br /> 80% RECHARGE _YES NO ANALYSES / � X / Z,Za <br /> ODOR 0 l SAMPLE VESSEL/ PRESERVATIVE D z V-4 <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Baiter(Teflon) Bladder Pump Bailer(Teflon) <br /> Centnfugal Pump Bailer(PVC) Centrifugal Pump Bailer( _PVC or disposable) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Peristaltic Pump Dedicated Peristaltic Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> WELL INTEGRITY LOCK# gTt . <br /> REMARKS D ti <br /> SIGNATURE Page of <br />