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(inclusive) cif -2s-I (- <br />C,1,--\ <br />Date Monitored: <br />Sampling Equipment: <br />Disposable Bailer <br />Pressure Bailer <br />Metal Filters <br />Peristaltic Pump <br />QED Bladder Pump <br />Other: <br />(2400 hrs) <br />(2400 hrs) <br />ft <br />ft <br />Time Started: <br /> <br />Time Completed: <br />Depth to Product: <br />Depth to Water: <br />Volume (gal.) pH <br />H03 <br />1 <br />Time <br />(2400 hr.) <br />11 (0 <br />Co.(rt5livity <br />umhos/cm) <br />(23-t- <br />1244 <br />Client/Facility#: Chevron #9-4054 Job Number: 17155216 <br />Site Address: 2103 Country Club Blvd. Event Date: <br />City: Stockton, CA Sampler: <br />Volume 3/4"= 0.02 1"= 0.04 2"= 0.17 3"= 0.38 <br />Factor (VF) 4. 0.66 5"-= 1.02 6". 1.50 12-= 5.80 <br />Check if water column is less then 0.50 ft. <br />3(6.93 xVF 0 • I-4- = ip • Z1- x3 case volume = Estimated Purge Volume: <br />Depth to Water w/ 80% Recharge [(Height of Water Column x 0.20) + e • 45 <br />Purge Equipment: <br />Disposable Bailer <br />Stainless Steel Bailer <br />Stack Pump <br />Peristaltic Pump <br />QED Bladder Pump <br />Other: <br />Start Time (purge): <br />Sample Time/Date: <br />Approx. Flow Rate: <br />Did well de-water? <br />Add/Replaced Bolt: Add/Replaced Gasket: Add/Replaced Lock: Add/Replaced Plug: <br />LABORATORY INFORMATION <br />SAMPLE ID (#) CONTAINER REFRIG. PRESERV. TYPE LABORATORY ANALYSES <br />MW- 4IS C., x voa vial YES HCL EUROFINS TPH-GRO(8015)/BTEX+MTBE(8260)/ <br />TAME/1,2 DCA(8260) <br />x voa vial YES HCL EUROFINS TPH-GRO(8015)/BTEX+MTBE(8260)/ <br />TAME/1,2 DCA/EDB(8260) <br />COMMENTS: <br />gal. Iq <br />PRE: <br />ORP <br />(rrtV) <br />PRE: -S-L..7 <br />Temg.trature D.O. <br />( F ) (mg/L) <br />Well ID <br />Well Diameter <br />Total Depth <br />Depth to Water <br />'18.0o ft <br />ol- ft <br />111)0 <br />2ch- 11 2)S-1 a <br />2.. gpm <br />Weather Conditions: <br />Water Color: c <br />Sediment Description: <br />Odor: Y <br />t•-k. <br />PO If yes, Time: ---- Volume: — gal. DTW @ Sampling: / 2 • (0 <br />5;3( Visual Confirmation/Description. <br />Skimmer/ Absorbant Sock (circle one) <br />Amt Removed from Skimmer. <br />Amt Removed from Well: <br />Water Removed: <br />Hydrocarbon Thickness: ft