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GE T TL ER - RYA N INC. <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> ' ClienUFacility#: Chevron #1001621 ,lob Number. 386883 <br /> Site Address: 22888 Kassen Road Event Date: (inclusive) <br /> City: Banta, CA Sampler: g /¢ <br /> Well ID w J(64 Date Monitored: ._,5;� <br /> Well Diameter /4/6 in. volume 3/4"=0.02 1"=0.04 2"=0.17 <br /> Total Depth aa-�3 ft. Fac or(VF) 4^=0.66 5"=1.02 6'= 1.50 <br /> Depth to Water 7-; ft. ❑ Check if water column is less then 0.50 ft. <br /> ' 1 'rJ ,0 Q xVF = x3 case volume=Estimated Purge Volume: gal. <br /> Depth to Water w/80% Recharge((Height of water Column x 0.20)+DTW): <br /> e Started: (2400 hrs) <br /> ' Purge Equipment: Sampling Equlpment: / Time Completed: (2400 hrs) <br /> Disposable Bailer Disposable Bailer j Depth to Product: ft <br /> Stainless Steel Bailer Pressure Bailer Depth to Water: ft <br /> ' Stack Pum Hydrocarbon Thickness: ft p Discrete Bailer <br /> Suction Pump Peristaltic Pump Visual Confirmation/Description: <br /> Grundfos QED Bladder Pump Skimmer/Absorbent Sock(circle one) <br /> Peristaltic Pump Other: Amt Removed from Skimmer: gal <br /> ' QED Bladder P(ir�r Ami Removed from Well: gal <br /> Other. <br /> 4 Water Removed: <br /> Product Transferred to: <br /> ' Start Time (purge): Bather Conditions: <br /> Sample Time/Date: / Water Color: Odor: Y / N <br /> Approx. Flow Rate: gpm. Sediment Description: <br /> ' Did well de-water? If yes, T' e: Volume: gal. DTW @ Sampling: <br /> Time Volume(gal. pH Conductivity Temperature D.O. ORP <br /> (2400 hr.) (pmhos/cm-pS) ( C / F <br /> (m9/L) (mV) <br /> ' PRE: Ct-3 PRE: <br /> ' POST: POST: <br /> BORATORY INFORMATION <br /> SAMPLE ID (#)CONTAINER REFRIG. RESERV.TYPE LABORATORY ANALYSES <br /> x voa vial YES HCL LANCASTER TPH-G(8015)/BTEJ(+MTBE(8260) <br /> X voa vial YES HCL LANCASTER TPH-G(8015)/BTEx+MTBE(8260)/ <br /> TBA+TAME(8260) <br /> 1 x voa vial YES HCL LANCASTER TPH-G(8015)/MTBE(8260) <br /> x voa vial YES HCL LANCASTER TPH-G(8015)IMTBE+TBA(8260) <br /> x voa vial YES HCL LANCASTER TPH-G(8015)/BTF�(+MTBE+TBA(8260) <br /> x voa vial YES HCL LANCASTER TPH-G(8015) or MTBE(8260) <br /> X von vial YES HCL LANCASTER MTBE+TBA(8260) <br /> x500mlambers YES NP LANCASTER TPN-D(8015) <br /> COMMENTS: <br /> 14411 C" <br /> Add/Replaced Lock: Add/Replaced Plug: Add/Replaced Bolt: <br />