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WELL MONITORING/SAMPLING <br />FIELD DATA SHEET <br />Chevron Facility # i ! 51 s _ Job#:.3 L,�L Q <br />Address: o1 Wes -a -Date• <br />City. �,�,_ Sampler: &&. <br />Well ID Well Condition <br />Well Diameter — in_ Hydrocarbon Amount Sailed <br />(� Thickness - {productlwated (pal.i <br />Total Depth y • 0�-� Voles 2"= 0 17 3"- 038 4"- o 66 <br />Depth to Water S (O Facu T (VF) 6"- 1.50 12'- 5 80 <br />Purge <br />Equipment <br />X VF <br />Disposable Bailer <br />Bader <br />Stack <br />Suction <br />Grundfos <br />Other. <br />X 3 (case volume) = Esumated Puree Volume (epi -I <br />Sampling <br />Equipment- Disposable Bader <br />Bailer <br />Pressure Bailer <br />Grab Sample <br />Other. <br />Sta ng Time: Weather Conditions: <br />Sampli Time: Water Color: Odor- <br />;amp <br />Flo ��Rate: Sediment DescnpUon: <br />Did well de-wa%er7 If yes; Time: Volume: , JUAL) <br />D.O ORPAUmUvILy <br />Time V41 pH T {�,) (MV) 47n1 <br />SAMPLE ID M - CONTAINER REFRIG <br />0 COMMENTS - <br />INFORMATION <br />N TYPE LABORATORY ANALYSES <br />