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MJECT # >2 75tX) Crfiu <br />CLIENT NAME Chevion 9 5775 <br />LOCATION 301 W KcRIcnian Ln Lodi CA <br />SECOR International Inc. <br />WATER SAMPLE FIELD DATA SKEET <br />PURGED BY i])yA WELL I D W L,J- t, <br />SAMPLED BY 1 D <br />QA SAMPLES <br />( <br />DATE PURGED <br />START 2400hi) +y CND (2400111 ) 165, z <br />DATE SAMPLED 7 SAMPLE TIME (2400hr) <br />SAMPLE TYPE Groundwater r. Surface Water Treatment Effluent Other <br />CASING DIAMETER 2 4 3' 4" <br />Casing Volume (gallons per too[) (0 17) (fl 38} <br />DEPTH TO BOTTOM (feet) = <br />DEPTH TO WATER (feet) = _ SSSS a <br />WATER COLUMN HEIGHT (feet) <br />DATE <br />TIME <br />VOLUME <br />(2400hr) <br />(gal),v <br />C <br />01/5 _ <br />_ 15 <br />51 6' 8 Other <br />To 67) (l 02) (I 50) (2 60) ( ) <br />CASING VOLUME (gal) = <br />CALCULATED PURGE (gal) <br />ACTUAL PURGE (gal) = 9 <br />FIELD MEASUREMENTS <br />TEMP <br />(degrees^i <br />'ZI <br />CONDUCTIVITY <br />(umhos/cm) <br />SAMPLE INFORMATION <br />SAMPLE DEPTH TO WATER 071 _ <br />COLOR <br />(visual) <br />TURBIDITY <br />SAMPLE TURBIDITY toAd <br />80% RECHARGE YES NO ANALYSES TPHg, BTEX, MTBE, TAME RIPE, ETBE, TBA, <br />EDB, 1,2 DCA Ethanol and Methanol <br />ODOR .� SAMPLE VESSEL/PRESERVATIVE 6voas/Hcl <br />nM rrow.rv3rr I SAMPLING EQUIPMENT <br />IF vnvai�v u�v++ +•+�• • <br />Bladder Pump _y_ Bailer ) <br />Centrifugal Pump Bailer (PVC) <br />Submersible Pump Batter (Stainless Steel) <br />Penstalic Pump Dedicated <br />Other <br />Pump Depth <br />WELL INTEGRITY <br />KS <br />SIGNATURE <br />� i <br />Bladder Pump <br />Centrifugal Pump <br />Submersible Pump <br />Penstalic Pump <br />Other <br />Bailer (Teflon) <br />Bailer ( PVC or__Xe_disposable) <br />Bailer (Stainless Steel) <br />Dedicated <br />LOCK# AID <br />Page of <br />