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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> tent/ Ch evr o n <br /> Facility - Job#: zz) <br /> Address: <br /> Date: sr--o f <br /> City: `�'0 r`� Sampler: <br /> Well ID Well Condition: <br /> Well Diameter Hydrocarbon Amount Bailed <br /> Thickness: Ifeetl Iproduct/water): <br /> Total Depth Volume 2"=0 17 3"—4.38 4"=0.66 <br /> J. <br /> ,f Factor(VF) 6"- 1.50 12" 5 80 <br /> Depth to Water �J 10 <br /> 00 X VF �. =�Z`0 X 3 (case volume) - Estimated Purge Volume: (a ') � <br /> Purge able Bade Sampling <br /> Equipment: Bailer Equipment: os a' <br /> Stacie Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other. <br /> Other: <br /> 0 Weather Condition • Svc <br /> Starting Time: er GsJ'' <br /> Sampling Time: , Water Color• eAx., Odor. til <br /> Purging Flow Rate: Sediment Description: <br /> Did well de-water? If yes; Time: Volume: , fgaQ <br /> Conductivity Temperature D.O. ORP Al12lWty <br /> Time Volume pH <br /> ' µmltosJan "F � (m ) (my) (ppm) <br /> jig <br /> oP°sem_ <br /> LABORATOFIY INFORMATION <br /> SAMPLE ID 19) - CONTAINER REFRIG. FRESERV.TYPE LABORATORY ANALYSES <br /> MW- , 3 VOAV I AL YHCL SEQUOIA TPH(G)/btax/mtba <br /> % <br /> COMMENTS: <br /> a�s�-n.ia.uren <br />