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[Y l <br /> SECOR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> 66JECT#: 077.43538.650 PURGED BY: WELL I.D.: <br /> CLIENT NAME: ChevronProducts Company SAMPLED BY: SAMPLE I.D.: <br /> LOCATION: 2905 Benjamin Holt Drive QA SAMPLES: <br /> DATE PURGED START(2400hr) END(2400hr) <br /> DATE SAMPLED SAMPLE TIME(2400hr) <br /> SAMPLE TYPE: Groundwater Surface Water Treatment Effluent Other <br /> CASING DIAMETER: 2" 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)= CASING VOLUME(gal) <br /> DEPTH TO WATER(feet)= 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 F) (umhos/cm) (units) (visual) (NTU) <br /> i <br /> i <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER: SAMPLE TURBIDITY: <br /> 80%RECHARGE: YES NO ANALYSES: TPHg,BTEX,oxygenates <br /> ODOR: SAMPLE VESSEL/PRESERVATIVE: 6 Het preserved Voas <br /> PURGING EQUIPMENT SAMPLING 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 /> Peristatic Pump Dedicated Peristalic Pump Dedicated <br /> Other: Other: <br /> Pump Depth: <br /> WELL INTEGRITY: LOCK#: <br /> REMARKS: <br /> SIGNATURE_ Page of <br />