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i <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client! G!n aC4 � <br /> Facility 61213 Job#: o <br /> Address: 14-3q CeAa l ,A r- - Date: 6 z z, ,F <br /> City: 7rs— Sampler: r,�aJt•'f <br /> Well ID Lf Well Condition c3 A- <br /> Well Diameter in. Hydrocarbon Amount Bailed <br /> Thickness f e (product/water) (Gallons) <br /> Total Depth 4 f'• Volume 2' = 0 17 3"= 0 38 4"= 0 66 <br /> Depth to Water �c. <br /> Factor(VF) 6"= 150 12" = 5 80 <br /> � �� <br /> 9 X VF X 3 (case volume) - Estimated Purge Volume -(Qal } <br /> Purge Disposable Bailer Sampling <br /> posEquipment• Bailer Equipment, ieaB le r <br /> Stack ai <br /> action Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time ll_ 7- Sr Weather Conditions Gze__., <br /> Sampling Time Water Color 'el' F. Odor <br /> Purging Flow Rate Qom. Sediment Description <br /> Did well de-water? Art, if yes, Time Volume I <br /> 'Pune Volume PH Conduc m pmTemperature D O ORP Alkty <br /> (Sal) hos/cm�/D 6 ° alaF (sn8/L) (mV) (ppm) <br /> �- Z _ < �-r <br /> i <br /> 29 3z s-;zj? 61. 1 <br /> « r � Q <br /> LABORATORY INFORMATION <br /> SAMPLE ID {rr} - CONTAINER REFRIG PRESERV TYPE / LABORATORY ANALYSES <br /> (f_ 3 V, A Y G r SEQUOIA TPH(G)/btex/mtbe <br /> i V 0 4 `V_ Sc I Q <br /> z Ufa 4 9Z60[ a x .C'..r <br /> 16— -t 1 t✓ 7P <br /> COMMENTS <br /> 9197 IbWaLtnn <br />