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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ � <br /> Facility 012, <br /> 3 Job#; Zoo <br /> Address: 1,0L6 Date: ,ql?:2L6-0 <br /> City: Sampler: . & <br /> Well ID U 'r _ Well Condition: d <br /> Well Diameter in. Hydrocarbon Amount Bailed <br /> Thickness: (product/water): (13allonsl <br /> Total Depth 6 `y Volume 2'-0.17 _3"—038- 41-066 <br /> Factor(VF) 6'= 1.50 12'=5.80 <br /> Depth to Water f - Z f <br /> �'•`� X VF ©• _ .l?O x a(case vaumel — Estimated Purge Volume 3, (gala <br /> Purge sposa a Sampling <br /> Equipment: Equipment: sable Ba r <br /> Stacie k' Bailer <br /> Pressure Bailer <br /> Grundfos Grab Sample <br /> ' <br /> Other. Other: - <br /> Starting Time: l .`a V Weather Conditions: <br /> Sampling Time: ZiQ Water Color: ' Arr+ Odor. k--O <br /> Purging Plow Rate: Sediment Description: -f I <br /> Did well de-water? Y'� If yes; Time: Volume: [aal.1 <br /> -.Tune_volume__----Volume T <br /> } <br /> r <br /> LABORATORY INFORMATION f <br /> SAMPLE ID NF- CONTAINER PRESERV.TYPE / LABORATORY ANALYSES n <br /> Z Y {rG A Y if GSEQUOIA TPH(G)Anex/mtba <br /> r <br /> ¢l Afd Alar <br /> 1 <br /> COMMENTS: <br /> 0X74bMdf trm <br />