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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> CHEVROI <br /> Facility �_L'� .. Job#: S 1 • <br /> Address- Date: R" <br /> --City: -Sampler: - <br /> Well ID Well Condition- otK <br /> Well Diameter Ch in, Hydrocarbon Amount Bailed <br /> Thickness: 1productlwater}; $"__ IGallensl <br /> Total Depth tL Volume 2" 0 17 - - 3"- 0.38 4"C 0 66 - <br /> Depth to Water 3� •�� ty Fanor (VF) 6" - 1.50 12't 5.80 <br /> C L t g3x VF •�� :=S 07 x 3 ;case volume} a Esurnated Purge Volume: t�•�-{laal•1 <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: (Disposable Bailer) <br /> CStack) Bailer <br /> Suction) Pressure Bailer <br /> Grundfos - Grab Sample <br /> Other: <br /> Other.- <br /> Stoning <br /> ther:Storting Time: Q 13 Weather Conditions: A 0. . <br /> Sampling Time: _ q: ,5 Water Color: CL a!AjL Odor'L. <br /> Purging Flow Rate: _ Z.Q___,,.,_4>2m. -Sediment Description: <br /> Did well de-water? _ ?Jin If yes; Time: Volume- <br /> foal.) <br /> Time Volume PH Conducuv ty Temperature DO ORP Al Whd <br /> 5.l 1•�Z E`mho crn+00 (MgL) (mv) (ppm) <br /> • 2�. t .0 .rJ• 2_1 S 5D -'- <br /> 90•u <br /> LABORATORY INFORMATION <br /> SAMPLE ID ({I} - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> X VOA VIAL Y TCL N TPH(6)/btex1mtbe <br /> COMMENTS' <br /> 9197-field.,1rm <br />