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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ U"c,Q <br /> Facility © 2. 3 .fob#: Z�od <br /> Address: 3 'fr s Date: Z- °� <br /> may_ Tr4 Sampler: tl' - _ - - <br /> Well ID .— S Well Condition: d k <br /> Well Diameter 2 Hydrocarbon Amount Bailed <br /> Thickness: 1produW""ater): <br /> Total Depth Volume 2"=017 3"a 038 4 —0 66 <br /> Facxor(VF) IF= 1 SO 12"G 5 80 <br /> Depth to Water f - D <br /> 7 Q � <br /> 11 L• v X VF 10--j-1—= X 3(case volume} - E.shmated Purge Volume: �9�1.1 <br /> Purge Disposable Bader SampGrig <br /> Equipment: Bailer Equipment= able Ba r <br /> Steck Bailer <br /> Pressure Bailer <br /> Gri+ndfos Grab Sample <br /> Other: Other. <br /> Starting Time: Weather Condrtions: <br /> Sampling Time: : Water Color. _ ,ten Odor: <br /> Purging Flow Rate. Sediment Description: ~ <br /> Did well de-water? If yes; Time: Volume: <br /> Time Volume PH =qty TempemtUve D.O. ORP JU c4 Wlty <br /> LABORATORY INFORMATION !' <br /> SAMPLE ID (#1- CONTAWER REFM0- PRESERV.'TYPE / LABORATORY ANALIS <br /> Y tf G i SEQUOIA TPm(a)ro"x►mtbe 4 <br /> 4d., aer .✓v We- <br /> COMMENTS: w_ <br />