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WELL MONITORING/SAMPLING <br />FIELD DATA SHEET <br />Chevron Facility # w������ Job#: 3 9fo u69 & <br />0i{�mar lo- <br />city: <br />-- <br />Address: 3 � W Date: <br />City:{r to Sampler: <br />Well ID Well Condition, <br />Well Diameter <br />Total Depth <br />Depth to Water <br />Purge <br />Equipment: <br />Hydrocarbon 4. Amount Balled <br />Thickness- (Product/water): _ ram] - <br />Volume 2"- 0 17 3" - 038 4"= 0 66 <br />Factor (VF) e d 1SQ 12' a 5 80 <br />"' X VF -�L .1-1 1 X 3 Icase volume) — Estimated Purge Volume 3 fGaLl <br />Disposable Bader Sampling <br />Bailer Equipment: Disposable Bailer <br />Stack Bailer <br />Suction Pressure Bailer <br />Grundfos Grab Sample <br />Other. Other. <br />Starting Time: Weather Conditions: <br />Sampling Time: Water Calor: Odor. <br />Purging Row Rate: Sediment Desetiption: M< <br />Did well de -water? If yes; Time: Voltunerw wy y n d <br />Time Vdimme "pH Com usca ft TCMP=d=D O: " " ORP ABcatioity • ` i <br />(F-) �uniwfilc� •C ( ) (mV) (PPmi <br />' LABORATORY INFORMATION <br />cw"iot a fn fin _ tIAKITee11131 AFFRU3 PRESERV. TYPE LABORATORY ANALYSES <br />COMMENTS: �Vd w��"C:'S owal, r" S� <br />9W4k*i@Lft,n <br />0 <br />