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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET _ <br /> Client/ <br /> Facility# -cs,5 # 1.,�� Job#1: _ ` <br /> Address. T JO ��x b`�` �� Date: y /7,1/t, • <br /> City: �"� Sampler: V2"-4 „ <br /> Well ID rn Well Condition. <br /> Well Diameter in. Hydrocarbon Amount Bailed <br /> Thickness _ G ieexl 1productlwaterl: <br /> Total Depth _.z �'Z n a!1 <br /> Volume 2" 0 17 3" - 0 38 4% C 0 66 <br /> Depth to Water <br /> Factor(VF) 6"- 1.50 12"C 5 80 <br /> �� � � � ts. ' <br /> X VF X :3 {case volume) = Estimated Purge Volume. S Isal.l <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: CDDIIisposable Bailbr <br /> Stack Be <br /> uctia Pressure Bailer <br /> Grundfos - Grab Sample <br /> Other: Other.• <br /> Starting Time: Weather Conditions: r r <br /> Sampling Time, _ SZ� Water Color. Odor: <br /> Purging Flow Rate — „ „anm. Sediment Description: l <br /> Did well de-water? ^ li yes; Time- _ Volume <br /> Time Volume pH Conductimty Temperature D O ORP Alkalinity <br /> —1 r (__�) �_– E` oat (mgJl.) (mom (Ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#I - CONTAINER REFRIG PRESERV. TYPE LABORATORY ANALYSES - <br /> --- X VOA VIAL Y HCL SEQUOIA TPH1G)1btex1mtbe <br /> COMMENTS. <br /> 8/87-r�ldas�rM <br />