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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ U"c-4 <br /> Facility © 2 3 Job#: Z$� <br /> Address: fr JL+ Date: 7- d� <br /> City: %rQ Sampler: <br /> Well ID Well Condition: r <br /> Well Diameter _ 2 Hydrocarbon Amount Bailed <br /> Thickness: _ 1fagtl tProauctdwatmi- ll <br /> Total Depth Vow 2"=0.17 3"-038 4`-O 66 <br /> Depth to Water .1 Z- 17r <br /> _ <br /> Factor{VF) C- 1-50 12"-580 <br /> x VF ©"r:--=f• X s(case volume) - Fstunated Purge Vaurne: <br /> Purge Disposable Bails SaagAng <br /> Equipment: a Equipment: osable Ba r <br /> Stack Bader <br /> Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: _ Other: <br /> Starting Time: Q : �` Weather Conditions: <br /> Sampling Time: l7 Water Color. „ Odor: <br /> Purging Flow Rate- Sediment Description: <br /> Did well de-water? If Yes: Time: Volume: <br /> Time VOW= SPH CanduckbAty Temperature D.O. ORP Alkalinity <br /> - -� 6 ,5.E (m> •) (MV) (PPn►) <br /> LABORATORY INFORMATION r <br /> SAMPLE ID (�i- CONTAINER REFRKL PRESERV.TYPE / LABORATORY ANALYSES i <br /> AW f :3 X it4 Y ! C, SEQUOIA TPH(G)/btex/mtbe <br /> Z rd �4 <br /> -� ¢/ NUJ�✓� -� Si/icy .t <br /> COMMENTS: edv..j Gnc.t- or+ (A� Q• �'� <br /> S <br /> 8fe7441dat.1m+ <br />