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• WELL MONITORINGISANIPLING <br /> FIELD DATA SHEET <br /> Client/ �� <br /> Facility * 012-3 Job#: ?-Fob <br /> Address" /0 3 q Date: 9L2 F/9� <br /> City: Z-2� _, Sampler: <br /> Well ID d,3 Well Condition ct_ <br /> Well Diameter Z in. Hydrocarbon Amount Bailed <br /> Thickness feet (product/water) fGailons� <br /> Total Depth Iy Volume 2" = 0 17 3" = 0 38 4" = 0 66 <br /> Depth to Water n <br /> Factor(VF) 6" = 150 12" = 5 80 <br /> 9 }3 <br /> •Z X VF CD /-;L _ ! X 3 (case Voh.me) = Estimated P. rge Volurne �'-T 7 foal } <br /> Purge Disosable — Sampling <br /> Equipment- Bailer Equipment csable Saile <br /> Stack Bader <br /> Suction Pressure Bairer <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time ID 'b 4- Weather Conditions <br /> Sampling Time I U - 'Z- Water Color �Lt„ZOdor to <br /> Purging Flow Rate oom Sediment Description <br /> Did well de-water? h-4? _ If yes, Time Volume ((jai } <br /> Tune Volume pH Condues/ Xuvity Temperature D O ORP Alkaluuty <br /> /a (O ($I- � � '' � (l' y ao aF/ (mS/t) (mom (ppm) <br /> (C) 1 L _ ►1• �'3 S <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#) - CONTAINER REFRIG PRESERV TYPE / LABORATORY ANALYSES <br /> L/- 3 3 il�d 9 Y HCI SEQUOIA TPH(G)Ibtex/mtbe <br /> Gr d -t -c -c 06f O <br /> JJ 4 c �76a(S vX Cc, <br /> COMMENTS <br /> 9197-11.wu frm <br />