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WELL MONITORING/SAMPLING <br />FIELD DATA SHEET <br />Chevron Facility # A R 51 Job#. 3$�6;y D <br />Address: :�O '[&10j -V LaX+_jz_Date. <br />City: �Oct Sampler: f <br />Well ID m� `� Well Condition <br />Well Diameter Hydrocarbon Amount Balled <br />. 4 Thickness iproducVweter} <br />Total Depth C7 Volume 2"= 0 17 3" - 0.38 4" a 0 66 <br />Depth to Water rJ i Fscwr (VF) 6" = 130 12" = s 80 <br />X VF <br />Purge Disposable Bailer <br />Equipment: Bader <br />Stack <br />Suction <br />Grundfos <br />Other <br />= X 3 (case volume} = Estimated Purge Volume funL] <br />Sampling <br />Equipment. Disposable Bader <br />Bailer <br />Pressure Bailer <br />Grab Sample <br />Other: <br />• Ste ng Time: Weather Conditions: <br />Sempli Time: Water Color: Odor - <br />Purging R Rate: _ .gpm Sedimerrt Description: <br />Did well de-wa`6sr7 If yes; Time: Volume: Joni_) <br />Time Y�tle pH � TenWaanae D O ORP AIS <br />\ "C (MWL) (VMV) (PPM) <br />IABOlkATORY INFORMATION <br />SAMPLE ID 110 - CONTAINER REFRIG ESEM. TYPE LABORATORY ANALYSES <br />0 COMMENTS - <br />W7 rawa hm <br />