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SECOR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> PROJECT# 7-Eleven Store#19976 PURGED BY �7;,�/�/i, WELL I D MW- _ <br /> e <br /> CLIENT NAME 7-Eleven,Inc SAMPLED BY SAMPLE i D MW- <br /> LOCATION 1399 North Main Street QA SAMPLES None <br /> DATE PURGED 'L // d'a START(2400hr) END(2400hr) _ V�—a- <br /> DATE SAMPLED 3 (/ 03 SAMPLE TIME(2400hr) /5 :3j5 _ <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 /> d { ) <br /> DEPTH TO BOTTOM(feet)= a /•-I V CASING VOLUME(gal)= <br /> DEPTH TO WATER(feet)= /j - a / _ CALCULATED PURGE(gal)= - o <br /> WATER COLUMN HEIGHT(feet) ACTUAL PURGE(gal) <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umhos/cm) (units) (visual) (NTU) <br /> 2 #03 iS� s-Y _ 0.C7 <br /> a-Z 6 v <br /> r— <br /> 'SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER O SAMPLE TURBIDITY N U <br /> 80%RECHARGE 1CYES NO ANALYSES BTEX,TPHg,5 Oxygenales Via EPA 8260B <br /> N, <br /> ODOR S SAMPLE VESSEL 1 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 Peristalic Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> WELL INTEGRITY O LOCK# <br /> REMARKS <br /> SIGNATURE ® Pageof l� <br />