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GE T TL ER - RYA N INC. <br /> WELL MONITORING/SAMPLING <br /> ' FIELD DATA SHEET <br /> Client/Facility#: Chevron #1001621 ,lob Number. 386883 <br /> Site Address: 22888 Kassen Road Event Date: /(1S —j! ( (inclusive) <br /> ' City: Banta, CA Sampler: Q,t/ <br /> ' Well ID {✓�1 J —S <br /> =ate (( _ -Q`� <br /> Well Diameter 2 / 6 in. volume 3/a 0.02 V=0.04 r=0.17 3=o.3e <br /> Total Depth ft Fac or(VF) a^=oss 5"=1.02 s= 1s0 1z'=s.e0 <br /> Depth to Water �2 ft. ❑ Check if water column is less then 0.50 ft. <br /> xVFx3 case volume=Estimated Purge Volume: gal. <br /> Depth to Water w/80% a harge[(Height of water column x 0.20)+DTW]: <br /> Time Started: (2400 hrs) <br /> ' Purge Equipment: Sampling Equipment Time Completed: (2400 hrs) <br /> Disposable Bailer Disposable Bailer D911s to Product: ft <br /> Stainless Steel BailerPressure Bailer epth to Water. ft <br /> Hydrocarbon Thickness: ft <br /> ' Stack Pump Discrete Bailer Visual Confirmation/Description: <br /> Suction Pump Peristaltic Pump <br /> Grundfos QED Bladder Pump Skimmer/Absorbent Sock(circle one) <br /> Peristaltic Pump Other: Amt Removed from Skimmer. gal <br /> ' QED Bladder Pump Amt Removed from Well: gal <br /> Water Removed: <br /> Other. Product Transferred lo: <br /> ' Start Time(purge): W her Conditions: <br /> Sample Time/Date: ! ater Color: Odor: Y / N <br /> Approx. Flow Rate: gpm. Sediment Description: <br /> ' Did well de-water? If yes, Ti Volume: gal. DTW @ Sampling: <br /> Time Volume(gal.) H Conductivity Temperature D.O. ORP <br /> (2400 hr.) (pmhos/nm-pS) ( C / F ) (MA) (mV) <br /> ' PRE:0, PRE: (J <br /> POST: POST: <br /> LABORATORY INFORMATION <br /> ' SAMPLE ID #)CONTAINER REFRIG. TY <br /> PRESERV. PE LABORATORY ANALYSES <br /> X voa vial YES HCL LANCASTER TPH-G(8015)BTEX+MTBE(8260) <br /> X voa vial YES HCL LANCASTER TPH-G(8015)BTEX+MTBE(8260)1 <br /> TBA+TAME(8260) <br /> ' x voa vial YES HCL LANCASTER TPH-G(8015)/MTBE(8260) <br /> X voa vial YES HCL LANCASTER TPH-G(8015)/MTBE+TRA(8260) <br /> x voa vial YES HCL LANCASTER TPH-G(8015)BTEX+MTBE+TBA(8260) <br /> X voa vial YES HCL LANCASTER TPH-G(8015) or MTBE(8260) <br /> x voa vial YES HCL LANCASTER MTBE+TBA(8260 <br /> x 500ml ambers YES NP LANCASTER TPH-D 8015 <br /> COMMENTS: TO <br />' Add/Replaced Lock: Add/Replaced Plug: Add/Replaced Bolt: <br />