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SECOR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> PROJECT# 7-Eleven Store#20632 PURGED BY Tom Miller WELL I D MW j- <br /> 0 C' <br /> NAME 7-Eleven,Inc SAMPLED BY Tom Miller SAMPLE I D MW- <br /> LOCATION 4627 Da Vinci Drive,Stockton,Califorma QA SAMPLES None - <br /> DATE PURGED START(2400hr) END(2400hr) <br /> DATE SAMPLED -�-/ -ay SAMPLE TIME(2400hr) Z bb <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) (0 17) (0 38) (0 67) (1 02) (1 50) (2 60) ( ) <br /> DEPTH TO BOTTOM(feet)_ -5-4-,;1— CASING VOLUME(gal)= .fid`— <br /> DEPTH TO WATER(feet)= —�_f a <br /> CALCULATED PURGE(gal) r— <br /> WATER COLUMN HEIGHT(feet)_ / ACTUAL PURGE(gal)_ <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees C) (umhos/cm) (units) (visual) (NTU) <br /> /_2- <br /> 3 0 / S' T / y /G _V'5P- <br /> /� l r9 pl S^` C LCL r✓u <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER 7 7 SAMPLE TURBIDITY ti <br /> 80%RECHARGE P'YES NO ANALYSES BTEX,TPHg,5 Oxygenates Via EPA 8260E <br /> ODOR N o 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 /> Peristatic Pump Dedicated Peristatic Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> WELL INTEGRITY LOCK# <br /> REMARKS <br /> SIGNATURE - Page 2of 7 <br /> t <br />