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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility-'A' TC Job#: h 3 <br /> Address• I„ S �� _�.�SL �"� Date: <br /> City: fit% C Sampler: <br /> Well ID Well Condition: <br /> -t-- <br /> Well Diameter in. Hydrocarbon Amount Bailed <br /> Thickness �fe Iproduct/water): , Ilo <br /> Total Depth ti Volume 2'= 0 17 3"- 038 4' 0 66 <br /> Depth to Water 1 3 ft <br /> Factor (VF) 6" - 1.50 12" = 5 So <br /> _ �_ <br /> f b X VF �� =_J_"_9Z�c 3 Iease volume) = Estimated Purge Volume- <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Disposable Bailer <br /> Stack Bailer <br /> action , Pressure Bailer <br /> _ <br /> os Grab Sample <br /> Other: Other: <br /> c <br /> Starting Time: _ i , �__ Weather Conditions- <br /> Sampling Time: `f-s� Water Color: _ 9rc Odor: <br /> - <br /> Purging Flow Rate _ l „apm. Sediment Description- s\� <br /> r• <br /> Did well de-water? ✓�!J If yes; Time: Volume: <br /> Time Volume pH Conductivity Temperature D 0 ORP Alkalinity <br /> L 5 <br /> (gal <br /> ) AIM "F (mgfL) (MV) (Ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE ID IA}- CONTAINER REFRIG PRESERV TYPE - LABORATORY ANALYSES <br /> X VOA VIAL Y HCL SEQUOIA TPHIGMtexlmtbe J"5 <br /> 40OMMENTS: <br />