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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> CHEVRON <br /> Fac111ty �1 ' '7 Job#: , �✓ 1 <br /> • Address: 3� ���� �` ' v R _ Date: <br /> City: Sampler: <br /> Well ID Well Condition: 6tL <br /> Well Diameter in. Hydrocarbon Amount Balled <br /> Thickness• le {product/water): e- <br /> Total Depth 341 t { <br /> Gallons) <br /> 'g2 . <br /> Volume 2"- 0 17 3"- 038 4'- 0 66 <br /> Depth to Water <br /> 3;L. Z T it. Factor (VF) 6"= 1.50 12"= 5 80 <br /> "I- YJ X VF -2-9 X 3 Icese volumel = Estrmated Purge Volume- ,�_��I 10al.1 <br /> Purge (Disposable Bailer) Sampling <br /> Equipment: Bader Equipment: (Disposable Bailer <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grundfos - Grab Sample <br /> Other: Other: <br /> Starting Time: 4 X. Weather Conditions: S ti 1i t•) <br /> Sampling Time: . 1 ,11. 7-01 Water Color: , ? 0tA ILT ajw4v. Odor: <br /> Purging Flow Rate' biLot_ anm. -Sediment Description: S�it,.tfTtY 51sT <br /> Did well de-water? „ .00 If yes; Time: Volume: r <br /> Time Volume 03 Conductivity Temperature D O ORP Alka]Wty <br /> (gal -7•BS " ,61m,pCOO( oD ,--I�F 3 (mg/JL) (MV) cpm) <br /> ta; 2.a 3.0 &PAS' 545 72.E <br /> LABORATORY INFORMATION <br /> SAMPLE ID la)- CONTAINER REFRIG. PRESERV. TYPE LABORATORY ANALYSES <br /> LAWS X VOA VIAL Y HCL Z4pJ TPHIG)lbtex/mtbe <br /> COMMENTS, <br /> ais�-r»w.+tin, <br />