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WELL MONITORING/SAMPLING <br />FIELD DATA SHEET <br />*Chevron Facility # :a 01 ` _ Job#: O <br />Address. _301_ weS+ Y Late- Date• <br />City: Sampler: <br />Well ID <br />Well Diameter <br />Total Depth <br />Depth to Water <br />Purge <br />Equipment: <br />X VF <br />Disposable Bailer <br />Bader <br />Stack <br />Suction <br />Grundfos <br />Other. <br />Well Condition <br />Hydrocarbon ,4 Amount Bailed <br />hickness (product/water) Tait <br />Volume 2" - 0 17 3" - 038 4" = 0 66 <br />Factor (VF) 6" - 1.50 12" _* 5 80 <br />= X 3 (case volume) — Estimated Purge Volumetee'-)-) <br />Sampling <br />Equipment Disposable Bader <br />Bader <br />Pressure Bader <br />Grab Sample <br />Other. <br />Ste ng Time: Weather Conditions• <br />Sample Time: Water Color: Odor <br />- <br />Purging Flo Rate: GPM Sediment Description: <br />Did well de -wailer? If yes; Time: Volume: <br />Time VD.O. ORP AUmMnity <br />ol pH T samboO= -C (091.) { v) qq m) <br />LAB&44ITORY INFORMATION <br />SAMPLE ID (A - CONTAINER REFRIG. VESERV TYPE LABORATORY ANALYSES <br />. COMMENTS: <br />ere -fi&W hm <br />