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SECOR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> �ROJECT# 7-Eleven Store#17334 PURGED BY Peng V_ang _ WELL I D MW- <br /> CLIENT NAME 7-Eleven,Inc SAMPLED BY Peng Vang SAMPLE I D MW- N <br /> LOCATION 4501 North Pershing Avenue,Stockton,CA QA SAMPLES None <br /> DATE PURGED G L r p j START(2400hr) — // j S END(2400hr) 21 S <br /> DATE SAMPLED 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) (l 02) (1 50) (2 60) ( ) <br /> DEPTH TO BOTTOM(feet) _ 3z A(-� � CASING VOLUME(gal)= Z 7 <br /> DEPTH TO WATER(feet)= _ 1 , 3 2— - CALCULATED PURGE(gal)_ <br /> WATER COLUMN HEIGHT(feet)= `f S r A - ACTUAL PURGE(gal)_ <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) gr <br /> (gal) (degrees C) (umbos/cm <br /> 1.7=i� Z 7 Z ) (amts) (visual} (NTLI) <br /> 1 <br /> =� 4 <br /> � _ <br /> 2�S � I 1Z Y <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER 17 Y1 SAMPLE TURBIDITY <br /> 80%RECHARGE 2!::7--YES NO ANALYSES BTEX,TPHg,5 Oxygenates Via EPA 8260B _ <br /> ODOR. f�61 SAMPLE VESSEL I PRESERVATIVE HCI, <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 /> Peristatic Pump Dedicated Penstalic Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> WELL INTEGRITY d LOCK# AJ <br /> REMARKS d i <br /> SIGNATURE <br /> Page of S <br />