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SECOR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> OJECT# 7-Eleven Stare#17647 PURGED BY Tom Miller WELL I D MW- <br /> CLIENT NAME 7-Eleven,Inc SAMPLED BY Tom Miller SAMPLE I D MW- <br /> LOCATION 1048 West Yosemite Avenue,Manteca,California QA SAMPLES None <br /> DATE PURGED -/�a 3 START(2400hr) END(2400hr) <br /> DATE SAMPLED ��r/o 3 SAMPLE TIME(2400hr) <br /> SAMPLE TYPE Groundwater X Surface Water Treatment Effluent Other <br /> CASING DIAME'T'ER 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)_ e CASING VOLUME(gal)_ <br /> DEPTH TO WATER(feet)= V CALCULATED PURGE(gal)_ <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) (umhoslcm) (units) (visual) (NTU) <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER SAMPLE TURBIDITY JU <br /> 80%RECHARGE YES NO ANALYSES BTEX,TPHg,7 Oxygenates Via EPA 8260B <br /> ODOR dLJ�' 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 Penstalic Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> WELL INTEGRITY LOCK# <br /> REMARKS <br /> SIGNATURE Page �of 3 <br />