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SECOR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> ki <br /> JECT : 77CHA3445.00.0352 PURGED BY: NO PURGE WELL 1.D.: I ' r <br /> iCLIENT NAME. Chevron 9-0557 SAMPLED BY: Brian Henderson/sem 63,.( SAMPLE I.D.: m KI <br /> LOCATION: 139 South Center Street,Stockton,CA QA SAMPLES <br /> DATE PURGED NO PURGE START(24001ir) END(2400hr) <br /> DATESAMPLED ..QD SAMPLE TIME(2400hr) <br /> SAMPLE TYPE: Groundwater, y - 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)_ <br />' DEPTH TO WATER(feet)= +y l{ CALCULATED PURGE(gal)_ <br /> WATER COLUMN HEIGHT(feet)= ACTUAL PURGE(gal)= <br />' FIELD MEASUREMEN'T'S(PLEASE NOTE UNITS) <br /> DATE TIME DO TEMP. ORP pH FE2+ TURBIDITY <br /> (2400hr) <br /> I i <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER: SAMPLE TURBIDITY: <br /> 80%RECHARGE: YES NO ANALYSES: TPHg,TPHd,TPHrno,BTEX,S oxygenates <br /> ODOR: 15k, ��,�! SAMPLE VESSEL/PRESERVATIVE: �8- wL4kl 6 k)e) � AMS✓ �-,�✓ <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump _Baiter(Teflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Centrifugal Pump _ CC Bailer ( PVC or disposable) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Peristalic Pump Dedicated Peristalic Pump Dedicated <br /> Other: Other: <br /> Pump Depth: <br /> WELL INTEGRITY: Op.a LOCK#: <br /> n RKS: <br /> SIGNATURE: Page of <br />