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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- <br /> CLIENT NAME 7-Eleven,Inc SAMPLED BY Tom Miller SAMPLE I D MW- 3 <br /> LOCATION 4501 North Pershing Avenue,Stockton,CA QA SAMPLES None <br /> DATE PURGEDL�� 5 � START(2400hr) U 1 9 END(2400hr) 3 <br /> DATE SAMPLED /� /G O 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) (1 50) (2 60) { ) <br /> DEPTH TO BOTTOM(feet) -3 -3 Z 0 CASING VOLUME(gal) <br /> DEPTH TO WATER(feet)_ //� p g CALCULATED PURGE(gal)_ 7 <br /> WATER COLUMN HEIGHT(feet)_ / ACTUAL PURGE(gal)= J� <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees C) (umhos/cm) (units) (visual) (NTU) <br /> S'[, <br /> 111�/v3 <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER Z . OY SAMPLE TURBIDITY Q Cly,yam <br /> 80%RECHARGE (YES NO ANALYSES BTEX,TPHg,5 Oxygenates Via EPA 8260B <br /> ODOR e t r,rl� SAMPLE VESSEL/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 LOCK# <br /> REMARKS <br /> ISIGNAT <br /> = Page of 5 <br />