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SECOR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> ICT# 7-Eleven Store#20632 PURGED BY Peng Vang WELL I D MW- t <br /> NET NAME 7-Eleven,Inc SAMPLED BY Pence Vang _ T^ SAMPLE I D MW- I <br /> LOCATION 4627 Da Vinci Drive,Stockton,California QA SAMPLES None <br /> DATE PURGED Z-15 0,;- _ START(2400hr) - D END(2400hr) <br /> DATE SAMPLED 2--I -G SAMPLE TIME(2400hr) f C 3 r <br /> SAMPLE TYPE Groundwater X Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2" X 3" 4" S" 6" 8" Other <br /> Casing Volume (gallons per foot) (0 17) (0 38) -((-)-6-7) (1 02) (I 50) (2 60) ( ) <br /> DEPTH TO BOTTOM(feet)= r CASING VOLUME(gal)= r , <br /> DEPTH TO WATER(feet)= 3 .Ll o CALCULATED PURGE(gal)_ <br /> WATER COLUMN HEIGHT(feet)_ (y ACTUAL PURGE(gal) <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees C) (umhos/cm) (units) (visual) (N I[I) <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER �j f SAMPLE TURBIDITY <br /> 80%RECHARGE �?YES NO ANALYSES BTEX,TPHg,5 Oxygenates Via EPA 826013 <br /> ODOR f _ 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 /> Penstalic Pump Dedicated Pernstalic Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> WELL INTEGRITY 244 <br /> 26.L A 1i� � �41 a , LOCK# <br /> REMARKS <br /> S ATURE {/ Page of 7 <br /> ti <br />