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SECOR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET 1 <br /> PROJECT# 7-Eleven Store#20632 PURGED BY Tom Miller WELL I D Mw- <br /> OJ <br /> W- { <br /> CLIENT NAME 7-Eleven,Inc SAMPLED BY Torn Miller SAMPLE I D MW- <br /> LOCATION 4627 Da Vinci Drive,Stockton,California QA SAMPLES None <br /> DATE PURGED _ /01-2 ,lQ �_ START(2400hr) / o END(2400hr) /Q 3 <br /> DATE SAMPLED /C'„ 3z0-3 SAMPLE TIME(2400hr) <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) (017) (0 38) (0 67) (1 02) (1 50) (2 60) ( ) <br /> DEPTH TO BOTTOM(feet)= / J- -S—/ CASING VOLUME(gal)_ y V <br /> DEPTH TO WATER(feet)– D 3 <br /> CALCULATED PURGE(gal)= 7 (— <br /> WATER COLUMN HEIGHT(feet)_ S ACTUAL PURGE(gal)_ V 5-- <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees C) (umhos/cm) (units) (visual) (NTU) <br /> `l -76 79 <br /> /u i 4403 14� j 3 3 d b 3 7O� 6�.soii ,s•�r <br /> za 9y <br /> q SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER / SAMPLE TURBIDITY <br /> 80%RECHARGE Y- YES NO ANALYSES BTEX,TPHg,5 Oxygenates Via EPA 8260B <br /> ODOR A)D SAMPLE VESSEL/PRESERVATIVE HCL <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bader(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 INTEGRITYLOCK# / <br /> REMARKS z2 1 <br /> SIGNATURE Page of 7 <br />