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SECOR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> ;ROJECT# 7-Eleven Store#17334 PURGED BY Tom Miller WELL I D MW- o� <br /> CLIENT NAME 7-Eleven,Inc SAMPLED BY Tom Miller SAMPLE I D Mw- <br /> LOCATION 4501 North Pershing Avenue,Stockton,CA QA SAMPLES None <br /> DATE PURGED /r/o 5 START(2400hr) �/ t/ END(2400hr) s <br /> DATE SAMPLED r/c SAMPLE TIME(2400hr) <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) (I 50) (2 60) ( ) <br /> DEPTH TO BOTTOM(feet)= 3,)- t' CASING VOLUME(gal)= 2,// <br /> DEPTH TO WATER(feet)= _ / / 76 CALCULATED PURGE(gal)_ U <br /> WATER COLUMN HEIGHT(feet) ACTUAL PURGE(gal)_ �• 6 <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees C) (umbos/cm) (units) (visual) (NTU) <br /> ra 6 6 <br /> A)A <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER P-3 SAMPLE TURBIDITY 14k.D <br /> 80%RECHARGE V, YES NO ANALYSES BTEX,TPHg,5 Oxygenates Via EPA 8260B <br /> ODOR /i2 O SAMPLE VESSEL/PRESERVATIVE HCL <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bader(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 LOCK#� <br /> REMARKS , <br /> Zey <br /> SIGNATURE <br /> — ,_� Page . 2, of 5 i <br />