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SECOR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> ECT# 077 42083 005 PURGED BY WELL I D DW- <br /> CLIENT NAME Ranch Market SAMPLED BY / SAMPLE I D DW- 3 <br /> LOCATION 23569 S Santa Fe Road,Riverbank,CA QA SAMPLES None <br /> DATE PURGED START(2400hr) END{2400hr} /'Y <br /> DATE SAMPLED 00 SAMPLE TIME(2400hr) <br /> SAMPLETYPE Groundwater X Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2 3 4 5 6 X 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)= CASING VOLUME(gal)= <br /> DEPTH TO WATER(feet)= NSA CALCULATED PURGE(gal)_ <br /> WATER COLUMN HEIGHT(feet)= l� ACTUAL PURGE(gal) <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umhos/cm) (units) (visual) (NTU) <br /> ,�-- NIA <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER SAMPLE TURBIDITY <br /> 80%RECHARGE NIA ANALYSES BTEX,TPM,Oxygea2tes,1-2-DCA,EDB Via EPA 8260B <br /> ODOR SAMPLE VESSEL/PRESERVATIVE HCL <br /> PSAMPLING EQUIPMENT <br /> URGING EQUIPMENT <br /> Bladder Pump Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Centrifugal Pump Bailer ( PVC or disposable) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Penstalic Pump X Dedicated Penstalic Pump X Dedicated <br /> Other Domestic Well With Dedicated Well Pump Other <br /> Pump Depth <br /> WELL INTEGRITY LOCK# <br /> REMARKS <br /> Page <br /> SIGNATURE <br />