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WELL MONITORING/SAMPLING <br />FIELD DATA SHEET <br />Chevron Facility # " J1 s Job#: SRLl D <br />Address: Q l WeSUP-AJ�-Date: 1r11qjj22 <br />City: Sampler: 14aI <br />Well ID '"`� Well Condition <br />Well Diameter Hydrocarbon Amount Balled <br />1+ + Thickness- (productlweter) <br />Total Depth V voluTM 2"- 0 17 3" - 0.38 4"= 0 66 <br />Factor (VF) 6"- 150 12" - 5 SO <br />Depth to Water <br />Purge <br />Equipment: <br />X VF <br />Disposable Balser <br />Bader <br />Stack <br />Suction <br />Grundfos <br />Other - <br />X 3 (case volume} - Estimated Purge Volume �pai-k <br />Sampling <br />Equipment Disposable Balser <br />Bailer <br />Pressure Bailer <br />Grab Sample <br />Other: <br />Ste ng Time: Weather Conditions: <br />Samph Time: Water Color: Odor <br />Purging R ate; Sediment Description: <br />Old well de-wa'iier? If yes; Time: Volume: <br />H � <br />Tinge P Y T D O ORP <br />AndMicin -C Vd ) (=9L) (MV) (PPM) <br />LA13&4�TORY INFORMATION <br />SAMPLE ID V) - CONTAINER REFRIG ESERV- TYPE LABORATORY ANALYSES <br />LIPS"", lE- <br />9107-n.ide.rm <br />