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SECOR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> 77CP 60193 01 00011 f _ ' <br /> PROJECT# 77BP 50193 02 0427 � PURGED BY WELL I D Ow. <br /> CLIENT NAME CP Station No 11193 SAMPLED BY 5 SAMPLE I D t Q -3 <br /> LOCATION 3202 West Hammer Lane, Stockton CA QA SAMPLES <br /> DATE PURGED START(2400hr) If s()Qj END (2400hr) <br /> DATE SAMPLED to A SAMPLE TIME(2400hr) l�Q� <br /> SAMPLE TYPE Groundwater ✓ Surface Water Treatment Effluent Other <br /> CASING DIAMETER` _ —2"--` -- - 3" r -4- - 5" ` 6" - 8" - Other` <br /> Casing Volume (gallons per foot) (0 17) - (038) - (0 67) (1 02) (1 50) (2 60) ( } <br /> DEPTH TO BOTTOM(feet)= 25 •CI() CASING VOLUME(gat)_ 2,(05- <br /> DEPTH <br /> .(09rDEPTH TO WATER(feet)= I y 3 Z CALCULATED PURGE(gal) <br /> WATER COLUMN HEIGHT(feet)= ACTUAL PURGE(gal)= Qj <br /> FIELD MEASUREMENTS <br /> DATE _ TIME VOLUME TEMP G CONDUCTIVITY - pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees') (umhoslcm) (units) (visual) (NTU) <br /> gi <br /> tsio 3 2-1 i H 33 -7 + braver -hzz In <br /> t51 <br /> 20-1 yS S' "7 �3 <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER �� 1 SAMPLE TURBIDITY <br /> 80% RECHARGE j,/ YES NO ANALYSES Various(See Work Order) <br /> ODOR SAMPLE VESSEL 1 PRESERVATIVE Various(See Work Order) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bader(Teflon) Bladder Pump Bailer(Teflon) / <br /> Centrifugal Pump Bader(PVC) Centrifugal Pump �Ba+ler ( PVC or /disposable) <br /> =Submersible Pump Bader(Stainless Steel) Submersible Pump Bader(Stainless Steel) <br /> Penstalic Pump Dedicated Penstalic Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> WELL INTEGRITY LOCK# p 3 <br /> REMARKS <br /> SIGNATURE: Page of <br />