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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility# _ S � � Q �� ��� Job#: 20 l z 3 <br /> Address: Cs!'20 C-��b`� �s•� �� Date: i <br /> City: Sampler: !f <br /> Well 1D 122-Q Well Condition A,," <br /> Well Diameter in, Hydrocarbon Amount Balled <br /> Thickness 4955�►04� ILeetl (productlweied: jQallonsl <br /> Total Depth y'�G n Volume 2' - 0 17 3' - 0384* <br /> Factor(VF) 6'= 130 12'= 5 80 C 0 65 <br /> Depth to Water <br /> X VF �� = Z° X 3 Icase volume) = Estimated Purge Volume. _ (C> (031.4 <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: < is os ble Bal eI <br /> Stack Bailer <br /> ;it Pressure Bailer <br /> Grundfos - Grab Sample <br /> Other: Other: <br /> Wterting Time: ZS Weather Conditions: l <br /> Sampling Time: ._ ! d Water Color: Odor: <br /> Purging Flow Rate- _ f anm- -Sediment Description: <br /> Did well de-water? �4J If yes; Time. Volume: (nal.i <br /> 71me Volume pH Conductmty Temperature D O. ORP Alkalinity <br /> LABORATORY INFORMATION <br /> SAMPLE ID INI- CONTAINER REFRIG PRESERV. TYPE - LABORATORY ANALYSES <br /> .- X VOA VIAL Y HCL SEQUOIA TPHIGI/btexlmtbe <br /> 4WMMENTS: <br /> 9187-n.iaa+hm <br />