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SECQR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> 07ECT# 7-Eleven Store#21756 PURGED BY Tom Miller WELL I D MW- <br /> CLIENT NAME 7-Eleven,Inc SAMPLED BY Tom Miller SAMPLE I D MW- C <br /> LOCATION 853 East Yosemite Avenue,Manteca,CA QA SAMPLES None <br /> DATE PURGED -?eL01,0-3 START(2400hr) END(2400hr) <br /> DATE SAMPLED SAMPLE TIME(2400hr) 1� yo <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 I7) (0 38) (0 67) (1 02) (I 50) (2 60) ( ) <br /> DEPTH TO BOTTOM(feet)= qL ,qd CASING VOLUME(gal)= <br /> DEPTH TO WATER(feet)= ! Q 0% CALCULATED PURGE(gal) <br /> WATER COLUMN HEIGHT(feet)_ / 7 G ACTUAL PURGE(gal)_ (J <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees-'F-Ye- (umhos/cm) (units) (visual) (NTU) <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER 19- S SAMPLE TURBIDITY <br /> 80%RECHARGE YES NO ANALYSES BTEX,TPH ,5 Oxygenates Via EPA 8260B <br /> ODOR f{/6 SAMPLE VESSEL/PRESERVATIVE HCL <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bader(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 Penstalic Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> WELL INTEGRITY LOCK# <br /> REMARKS f ] Q 2, <br /> SIGNATURE Page of <br />