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c,t,v <br />17155216 <br />(inclusive) <br />Job Number: <br />Event Date: <br />Sampler: <br />Client/Facility: Chevron #9-4054 <br />Site Address: 2103 Country Club Blvd. <br />City: Stockton, CA <br />Date Monitored: - <br />Check if water column is less then 0.50 ft. 1 41 ft. <br />.141-1 xvF o.1 = .x3 case volume = Estimated Purge Volume: <br />Depth to Water w/ 80% Recharge [(Height of Water Column x 0.20) + DTW]: 24.401 <br />Water Removed: <br />Skimmer/ Absorbant Sock (circle one) <br />Amt Removed from Skimmer' Itr <br />Amt Removed from Well: ltr <br />Itr <br />Purge Equipment: <br />Disposable Bailer <br />Stainless Steel Bailer <br />Stack Pump <br />Peristaltic Pump <br />QED Bladder Pump <br />Other: <br />Well ID <br />Well Diameter <br />Total Depth <br />Depth to Water <br />081 Start Time (purge): <br />Sample Time/Date: <br />Approx. Flow Rate: <br />Did well de-water? <br />DE555 /4 )2CIOr <br />2— gpm. <br />Weather Conditions: <br />Water Color: C- (_c <br />Sediment Description: <br />Odor: Y / <br />gal. <br />MW- <br />i3 ft <br />Sampling Equipment: <br />Disposable Bailer <br />Pressure Bailer <br />Metal Fitters <br />Peristaltic Pump <br />QED Bladder Pump <br />Other: <br />N.)0 If yes, Time: — Volume: — gal. DTVV @ Sampling: <br />it-4) A.1 <br />I c • <br />VolumeVolume <br />Factor (VF) <br />3/C= 0,02 <br />4"= 0.66 <br /> <br />1=0.04 2". 0.17 3"=0.38 <br /> <br />5"= 1.02 6"= 1.50 12'=5.80 <br />(2400 hrs) <br />Time Completed: (2400 hrs) <br />Depth to Product: ft <br />Depth to Water ft <br />Hydrocarbon Thickness: 0 ft <br />Visual Confirmation/Description: <br />Time Started: <br />Time <br />(2400 hr.) Volume (gal.) pH <br />z- <br />34 3.66 <br />Conductivity <br />oflri <br />e6,5 zt-44) <br />ORP <br />(mV) <br />PRE: <br />D.O. <br />(mg/L) pmhos/cm) <br />1.— <br />GETTLER- RYAN INC. <br />WELL MONITORING/SAMPLING <br />FIELD DATA SHEET <br />LABORATORY INFORMATION INFORMATION <br />SAMPLE ID (S) CONTAINER REFRIG. PRESERV. TYPE LABORATORY ANALYSES <br />ip 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: &VS <br />Add/Replaced Gasket: Add/Replaced Bolt: Add/Replaced Lock: <br /> <br />Add/Replaced Plug: <br />