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SECOR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> PROJECT#: 7-Eleven Store 920632 PURGED BY: Cord Dennig WELL I.D.: MW_ <br /> CLIENT NAME: 7-Eleven,Inc. SAMPLED BY: Cord Dennig SAMPLE I.D.: MW- <br /> LOCATION: 4627 Da Vinci Drive,Stockton,California QA SAMPLES: None <br /> DATE PURGED �� �� START(2400hr) END(2400hr) <br /> DATE SAMPLED ( Z SAMPLE TIME(2400hr) <br /> SAMPLE TYPE: Groundwater X Surface Water Treatment Effluent Other <br /> CASING DIAMETER: 2" X 3" 4" 5" 6" 8" Other <br /> Casing Volume:(gallons per foot) ( i= (0.17) (0.38) (0.67) {1.02) {1.50) (2.60) { ) <br /> DEPTH TO BOTTOM(feet)_ `"1 `� CASING VOLUME(gal)= `9 <br /> DEPTH TO WATER(feet)= �j CALCULATED PURGE(gal) <br /> WATER COLUMN HEIGHT(feet)_ �p �� ACTUAL PURGE(gal) <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP. CONDUCTIVITY pH COLOR TURBIDITY <br /> (�400 (gal) (degrees C (umhi s/ m) units) 1(visual} (NTU <br /> 74 ,1 1t Lr SZrr� <br /> C SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER: ��0v SAMPLE TURBIDITY: <br /> 80%RECHARGE: X_YES NO ANALYSES: BTEX,TPHg,5 Oxygenates Via EPA 8260B <br /> ODOR; SAMPLE VESSEL/PRESERVATIVE: HCL <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Centrifugal Pump X Bailer ( PVC or X disposable) <br /> X 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: & �^} LOCK#: Yes <br /> REMARKS: <br /> SIGNATURE: Page of 7 <br />