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SECOR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> PROJECT# 7-Eleven Store#19976 PURGED BY ZL WELL I D MW- <br /> CLIENT NAME 7-Eleven,Inc SAMPLED BY 71 SAMPLE 1 D MW- ~ <br /> LOCATION 1399 North Main Street,Manteca,CA QA SAMPLES None <br /> DATE PURGED (j � G START(2400hr) '16 j Y END(2400hr) / / 0 -3 — <br /> DATE <br /> / O3DATE SAMPLED 7 SAMPLE TIME(2400hr) O <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) (l 02) (1 50) (2 60) { } <br /> DEPTH TO BOTTOM(feet)_ �T5�__-I--�/ CASING VOLUME(gal)_ 2 3 <br /> DEPTH TO WATER(feet)_ (� CALCULATED PURGE(gat)_ / S— O <br /> WATER COLUMN HEIGHT(feet)_ 7 e L/ ACTUAL PURGE(gal)= IS O <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees C) (umhoslcm) (units) (visual) (NTU) <br /> 03 �oS7 5-0 /_ o z 7 7Y Cc'a, -4-0 <br /> 7 !;� 6 a s2d,. <br /> 13 _ 41_C) r 16 a -7 3_2 e 4n <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER SAMPLE TURBIDITY <br /> 80%RECHARGE 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 /> Centnfugal Pump Bailer(PVC) Centrifugal Pump X Batter ( PVC or X disposable) <br /> X Submersible Pump Bailer(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Penstalic Pump Dedicated Penstalic Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> WELL INTEGRITY _�j'Cr LOCK# 7�cr <br /> REMARKS <br /> SIGNATURE `� Page <br />