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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET, <br /> Client/CHEVRON <br /> Facility — I 'i 5 Job#: <br /> Address: <br /> �-} >� �'� �, � S1 Date: <br /> City: _ P Sampler: <br /> Well ID rn Well Condition: \ <br /> Well Diameter ir,. Hydrocarbon Amount Bailed <br /> Thickness: ffontl {productlwater): {Gallo <br /> Total Depth Volume 2"=0.17 3"= 0.38 4"= 0.66 <br /> Facto; (VF) b" = 1.50 12"= 5.80 <br /> Depth to Water _ f - . <br /> X VF X 3 {case volume) = Estimated Purge Volume: Laa1 <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Disposable Bailer <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grundfos - Grab Sample <br /> Other: Other: <br /> Starting Time: Weather Conditions: <br /> Sampling Time: Water C or: Odor: <br /> Purging Flow Rate: Sedim t Description: <br /> Did well de-water? If y Time: Vol e: Iaal.l <br /> Time olume pH Co uctivity Temperature .O. ORP •'Alkalinity <br /> (gal.) hos/cm OF (mg/!,) (mV) (PPM) <br /> LABORATORY INFORMATION <br /> SAMPLE ID {!ll- CONTAINER REFRIG. PRESERV.TYPE ~• LABORATORY -ANALYSES <br /> Y LANCAST TPHIG)/btex/mtbe <br /> ..� COMMENTS: _ r f9(f�1 W e�j lI�l Al mat A rc,� jL, 44,t-rh c_ a <br /> 8197-IiefOa�.hrn <br />