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SECOR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> r <br /> RO]ECT# 7-Eleven Store 021756 PURGED BY Peng Vang WELL I D MW- f <br /> CLIENT NAME 7-Eleven,Inc SAMPLED BY Peng Vang SAMPLE 1 D MW- f <br /> LOCATION 853 East Yosemite Avenue,Manteca,CA QA SAMPLES None <br /> DATE PURGED -t f —b y START(2400hr) END(2400hr) W <br /> DATE SAMPLED SAMPLE TIME(2400hr) / s� <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) (t 50) (2 60) ( ) <br /> DEPTH TO BOTTOM(feet)= j� I/ CASING VOLUME(gal)_ f l o <br /> DEPTH TO WATER(feet)= —7 1) 1 Y. CALCULATED PURGE(gal) <br /> WATER COLUMN HEIGHT(feet)_ 7 ACTUAL PURGE(gal) <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees C) (umhoslern) (units) (visual) (NTU) <br /> -II-o 1131 ._110 Z1. %" x179 _ Sawnjr " <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER SAMPLE TURBIDITY <br /> 80%RECHARGE >0 YES NO ANALYSES BTEX,TPHg,5 Oxygenates Via EPA 8260B <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 Perrstalic Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> WELL INTEGRITY LOCK# �� <br /> REMARKS da <br /> 01 <br /> SIGNATURE - Page of 4 <br />