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r„ r <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client! [.1,n a ea <br /> Facility _ b / 2,.3 _ _ Job#. 6 <br /> Address 10 3� Gin*�n; Date: 6/7_z14? <br /> City: Tr4 ga4 Sampler: <br /> Well I❑ _ .3 „ Well Condition. <br /> Well Diameter In. Hydrocarbon Amount Bailed <br /> Thickness fee (product/water) aflons <br /> Total Depth 1 L <br /> Volume 2" = 0 17 3"=038 4" = 0 66 <br /> Factor(VF) 6"= 150 12"= 5 80 <br /> Depth to Water 67 1:)- ft. <br /> 7 :�-g X VF 3 Z X 3 (case volume) = Estimated Purge Volume ,? " f iaai.f <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment. sable Basle <br /> Stack Bailer <br /> uctl Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other- <br /> Starting Time —_ _S Weather Conditions <br /> Sampling Time _ /0 , 1 c'"_' Water Calor GCS,_ Odor r—r I <br /> Purging Flow Rate r aom Sediment Description <br /> Did well de-water? V If yes, Time Volume <br /> Time Volume pH Conductivity Temperature DO ORP Aikahmty <br /> '"mhos/Sin-11a c? F (mg/L) (mv) (ppm) <br /> 46. <br /> LABORATORY INFORMATION <br /> SAMPLE ID (p'} - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> 3 V43 4- Y SEQUOIA TPH(G)/btex/mtbe <br /> I Z Vd 4 <br /> Z Ira 4 <br /> COMMENTS: <br /> 9197-1leidaMIM <br />