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SECOR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> OJECT#: PURGED BY: �'l WELL I.D.: <br /> CLIENT NAME: Chevron SAMPLED BY: ✓�5�i _ SAMPLELD.: <br /> LOCATION: 2905 W-Benjamin Holt,Stockton,CA QA SAMPLES: <br /> DATE PURGED 5—/,(�"!'1 START(2400hr) t y END(2400hr) 1-7 3 to <br /> DATE SAMPLED Sq/ SAMPLE TIME(2400hr) <br /> SAMPLE TYPE: Groundwater_ 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) (0.6 (1.02) (1.50) (2.60) { ) <br /> DEPTH TO BOTTOM(feet)= 3�.�� CASING VOLUME(gal) <br /> DEPTH TO WATER(feet)= �� 3� 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 ( al) (degrees F) (umhos/cm) (units) (visual) (NTU) <br /> 7-�C1 LtR2. 2-c� <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER: ]i q SAMPLE TURBIDITY: G_!l�✓ <br /> 8096 RECHARGE: YES NO ANALYSES: TPH-g/BTEX/MtBFJOxygenates <br /> ODOR: SAMPLE VESSEL/PRESERVATIVE: <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Centrifugal Pump �r�Bailer ( PVC or_Xg�disposable) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Peristalic Pump Dedicated <br /> Peristalic Pump <br /> Dedicated <br /> Other: Other: <br /> Pump Depth: <br /> WELL INTEGRITY: LOCK#: <br /> REMARKS: <br /> SIGNATURE: Page of <br />