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Sampling Equipment: <br />Disposable Bailer <br />Pressure Bailer <br />Metal Fifters <br />Peristaltic Pump <br />QED Bladder Pump <br />Other: <br />Job Number: <br />Event Date: <br />Sampler: <br />Well ID <br />Well Diameter <br />Total Depth <br />Depth to Water <br />30.4-4 ft <br />ft <br />tei xvF •ti <br />Zi Check if water column is less then 0.50 ft. <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 />Date Monitored: <br />x3 case volume = Estimated Purge Volume: la gal. <br />MW- <br />/ 4 in. <br />= 1.3-C <br />Depth to Water w/ 80% Recharge [(Height of Water Column x 0.20) + DTW]: 14..L3 <br />Purge Equipment: <br />Disposable Bailer <br />Stainless Steel Bailer <br />Stack Pump <br />Peristaltic Pump <br />QED Bladder Pump <br />Other: <br />Add/Replaced Lock: Add/Replaced Plug: Add/Replaced Gasket: Add/Replaced Bolt <br />Start Time (purge): II6C <br />Sample Time/Date: I k 23 <br />Approx. Flow Rate: tt 2.o <br />Did well de-water? No <br />Weather Conditions: <br />Water Color: ez. ge4K_ Odor: <br />5 1/44•4 1.), <br />Odor: Y /61) <br />Not-)C <br />gal. DIVV @ Sampling: <br />gpm. Sediment Description: <br />If yes, Time: Volume: 7i— <br />D.0 <br />(mg/L) <br />ORP <br />(my) <br />PRE: 95- PRE: 2.•, <br />Temperature <br />( & / F ) <br />2.2. • c> <br />Time <br />(2400 hr.) Volume (gal.) pH <br />Co.pq.ltActivity <br />tIV/ mS <br />limbos/cm) sg‘ <br />550 <br />01k <br />LABORATORY INFORMATION <br />SAMPLE ID (#) CONTAINER REFRIG. PRESERV. TYPE LABORATORY ANALYSES <br />MW- 1 I („12 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 />17155216 <br />q-25,0 <br />(inclusive) <br />Fr <br />Client/Facility#: Chevron #9-4054 <br />Site Address: 2103 Country Club Blvd. <br />City: Stockton, CA <br />Time Started: (2400 hrs) <br />(2400 hrs) <br />ft <br />ft <br />ft <br />Visual Confirm on/Description: <br />Skimme Absorbant Sock (circle one) <br />Amt R.ji . ed from Skimmer: <br />Amt Removed from Well: <br />Water Removed: <br />Time Completed: <br />Depth to Product: <br />Depth to Water: <br />Hydrocarbon Thick <br /> Itr <br /> Itr <br />Itr