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SECOR International Inc, <br /> WATER SAMPLE FIELD DATA SHEET <br /> WJECT# 7-Eleven Store#17334 PURGED BY Peng Vang WELL I D �- <br /> CLIENT NAME 7-Eleven,Inc SAMPLED BY Peng Veng SAMPLE I D MW. <br /> LOCATION 4501 North Pershing Avenue,Stockton,CA QA SAMPLES None <br /> DATE PURGED Z'Z -D`j START(2400hr) 13 S(, END(2400hr) <br /> DATE SAMPLED 2 -Z _o SAMPLE TIME(2400hr) �. y z(0 <br /> SAMPLE TYPE Groundwater X Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2" X 3" 4" 5" 6" $" Other <br /> Casing Volume (gallons per foot) (0 17) (0 38) (0 67) (1 02) (1 50) (2 60) ( ) <br /> DEPTH TO BOTTOM(feet)= 33,f 3 CASING VOLUME(gal)= Z 70 <br /> DEPTH TO WATER(feet) 17Z7 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 /> Itft 1 7 22 2 !jS3 -7•o? So,..,, (j, r <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER j �J. 57 SAMPLE TURBIDITY <br /> 80%RECHARGE YES NO ANALYSES RTEX,TPHg,5 Oxygenates Via EPA 8260E _ <br /> ODOR 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 /> Penstahc Pump Dedicated Penstalic Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> WELL INTEGRITY LOCK# ba- <br /> REMARKS <br /> aREMARKS <br /> SIGNATURE Page of 5 <br />