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WELL MONITORING/SAMPLING <br />FIELD DATA SHEET <br />Chevron Facility #_ -1s Job#.��� <br />Address: 301 W4?S+ FC -44' -eff10jA wrx- Date: <br />City; L4d� Sampler: ! o <br />Well ID "�� A Well Condition <br />Well Diameter- Hydrocarbon Amount Bailed <br />r_ Thickness _ +�- (product/water) igA! <br />Total Depth V voiuxm 2" = 0 17 3" - 0.38 4"— 0 66 <br />Depth to Water <br />5� � Factor (VF) 6" = 1.50 12" = 5 80 <br />Purge <br />Equipment• <br />X VF <br />Disposable Bailer <br />Bader <br />Stack <br />Suction <br />Grtindfos <br />Other• <br />X 3 (case volume) a Estimated Purge Volume igsL1 <br />Sampling <br />Equipment: Disposable Bailer <br />Bailer <br />Pressure Bailer <br />Grab Sample <br />Other: <br />Sta ng Time- Weather Conditions: <br />Semph Time: Water Color: Odor- <br />Purg+ng Flo Rate: — ate++- Sediment Description: <br />Did well de-waler7 If yes; Time: Volume: +DRi-+ <br />D.O. ORP AUmUnfty <br />Time Vd (SOL) pH (WIPT-) (MV) (PPM) <br />SAMPLE ID (#) - CONTAINER REFRIG <br />. COMMENTS <br />TORY INFORMATION <br />4?RESERV TYPE LABORATORY ANALYSES <br />9197-6~ hm <br />