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WELL MONITORING/SAMPLING <br />FIELD DATA SHEET <br />Chevron Facility # 4 C( Job# ESLC7 O <br />Address: Ol ,WeS•� Date- <br />City: `�t� Sampler: I <br />Well ID Well Condition <br />Well Diameter Hydrocarbon Amount Bailed <br />Thickness _ +•- (product/water) <br />Total Depth D Volume 2" m 0 17 3" - 038 4" = 0 66 <br />Depth to water <br />Factor (VI-) 6"- 1.50 12" = 5 80 <br />D <br />Purge <br />Equipment: <br />X VF <br />Disposable Bailer <br />Bailer <br />Stack <br />Suction <br />Grundfos <br />Other <br />X 3 Icase volume) - Estimated Purge Volume (0111 <br />Sampling <br />Equipment: Disposable Bailer <br />Bailer <br />Pressure Bailer <br />Grab Sample <br />Other: <br />Ste ng Time: Weather Conditions: <br />Sample Time. Water Color: Odor. <br />Purging R Rate: Sediment Description: <br />Did well de-wa'tsr7 If yes; Time: Volume: Ian[) <br />Time V pH CaeducdV t7 Tempaabm D O. ORP AUmUnhy <br />(SOL) -C (MVP (MV) (ppm) <br />LABOlkATORY INFORMATION <br />SAMPLE ID Rj - CONTAINER REFRIG. VESERV TYPE LABORATORY ANALYSES <br />* COMMENTS: <br />9197-frWat fin <br />r <br />