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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ ejmo ra4 <br /> Facility-* F3/23 Job#: 7-4�� � <br /> Address- 103-P Ceh-frdx-P A - Date: YJZgI <br /> City: !r Sampler: <br /> Well ID Well Condition. ef*- <br /> Well Diameter 2 in. Hydrocarbon Amount Bailed <br /> Thickness- �_ (feet) (product/water) LGallons) <br /> Total Depth ft. Volume 2" = 0 17 3" =0 38 4" = 0 66 <br /> q 3 Factor(VF) 6' = 150 12"= 5 80 <br /> Depth to Water � fty, <br /> )b o t X VF I�` _ X 3 (case volume) = Estimated P-rge Volume 1 <br /> Purgeosab BaileJ Sampling <br /> Equipment- Bailer Equipment. osab)B ler <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time Jr 1`7 Weather Conditions &I&,_ <br /> ' Sampling Time 1_f, �)- _ Water Calor CLQ._ Odor <br /> Purging Flow Rate aom Sediment Description <br /> Did well de-water? �''`�' If yes, Time. Volume (nal } <br /> Time Volume pH Conductivtty Temperature DO ORP Alkaluuty <br /> J r Y 3 (gZ) -7Z S'4l xloo "g (mg/L) (mom (ppm) <br /> Jr 3-C) © � <br /> LABORATORY INFORMATION <br /> SAMPLE ID (t1) - CONTAINER REFRIG PRESERV TYPE / LABORATORY ANALYSES <br /> U, `-Y 3 1147 A Y H CI SEQUOIA TPH(G)1btexlmtbe <br /> t Z Lr /4 -y' -c -c g0 J 0 <br /> COMMENTS <br /> 9i9r rr.+a.s rm, <br />