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SECDR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> JECT# 77CH 43449 00 0650 PURGED BY Damon Minanch WELL 1 D T,/'f"/rJ�,(,� _ <br /> CLIENT NAME Chevron 9-5775 SAMPLED BY Damon Minarich SAMPLE I D <br /> LOCATION 301 W Kettleman Ln Lodi,CA QA SAMPLES <br /> DATE PURGED START(2400hr) END(2400hr) '/ <br /> DATE SAMPLED SAMPLE TIME(2400hr) rol <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)_ X00 CASING VOLUME(gal)_ / ' _ <br /> DEPTH TO WATER(feet)= r,7(7 _ CALCULATED PURGE(gal) <br /> r <br /> WATER COLUMN HEIGHT(feet)= 7, ACTUAL PURGE(gal) <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBI U)Y <br /> (2400hr) (gal) (degrees F) (umhos/cm) (units) (visual) <br /> .yo a Ano <br /> � - f _ �e1 — <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER V ;I SAMPLE TURBIDITY cJ <br /> 80%RECHARGE w,4 _YES NO ANALYSES TPHg,BTEX,7 oxyygenates(MTBE,TAME DIPS,ETRE,TBA, <br /> EDB,and 1,2 DCA)Ethanol,Methanol <br /> ODOR 10 SAMPLE VESSEL/PRESERVATIVE 8 voas/Hcl <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 /> Penstalic Pump _jL_Dedicated,,— Penstalic Pump C Dedicated42aj, 4) <br /> Other, Other <br /> Pump Depth -" <br /> WELL INTEGRITY LOCK# <br /> -44 <br /> REMARKS <br /> SIGNATURE ZUW <br /> Page of <br />