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SECOR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> O1ECT# 7-Eleven Store#17334 PURGED BY Peng Vang WELL I D MW- 2— <br /> CLIENT NAME 7-Eleven,Inc SAMPLED BY Peng Vang SAMPLE I D MW- <br /> LOCATION 4501 North Pershing Avenue,Stockton,CA QA SAMPLES None <br /> DATE PURGED j Z–(„ 0 q START(2400hr) END(2400hr) `1S <br /> DATE SAMPLED i Z (4, C y 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,L -5 , CASING VOLUME(gal)= y <br /> DEPTH TO WATER(feet)= / ,q f 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) (umhos/cm) (units) (visual) (NTU) <br /> rl- cy ly5D z, 1 10.0 %,4, 1��Z I _ 1ril-i <br /> iy SZ <br /> q,2-- - 76-0- -) 770 SI <br /> C, t 2012 _ 7to&r W��'7 j�,r <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER _��, `/fj SAMPLE TURBIDITY {) <br /> 80%RECHARGE )CJ YES NO ANALYSES BTEX,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 /> Penstalic Pump Dedicated Penstahc Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> WELL INTEGRITY LOCK# e <br /> REMARKS - r o <br /> SIGNATURE V., Page of 5 <br />