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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> 4lientl C1'1e.,Vr'O rl � L-{' <br /> acility, ao33 Job#: <br /> Address: <br /> Ch�-t� Date: S' t o� <br /> City: <br /> C <br /> < 4% Sampler: <br /> �-� <br /> Well ID � Well Condition: <br /> �tr <br /> Well Diameter In, Hydrocarbon Amount Bailed � <br /> �( Thickness, - - (Product/water)' <br /> Total Depth �" Volume 2' s 0.17 3" 0.38 4" 0.66 <br /> Depth to Water IL <br /> t7 Factor(VF) 6"- 1.50 12" S 80 <br /> IU�D X VF ^l2 - S•4 X 3(ca8e volume) - Estimated Purge Volume. � I►Y laaL1 <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: (Disposable Bailer <br /> Stack Bailer <br /> L Pressure Bailer <br /> Suction Grab Sample <br /> Grundfos ether• <br /> Other- <br /> eFstarting Time: a•= Weather Conditions: Y c.1,+►�N`f It-al 000y <br /> Sampling Time: Water Color: CL(CAtf,/tow Odor,- Ae-r _ <br /> Purging Flow Rate: j - Sediment Description: <br /> Did well de-water? No If yes; Time: Volume: <br /> Time Volume pH Conductivity Temperatuie D.O. ORP AlkalWty <br /> 37 jj.0 <br /> LABORATORY INFORMATION <br /> ANALYSES <br /> SAMPLE IQ 10)- CONTAINER REFRIG PRESERV-TYPE LABORATORY <br /> MW— VOAV 1 ALHCL <br /> Y SEQUOIA TPH(GNbtexlmtbe <br /> 3 c7 � <br />.COMMENTS: Pf2o 4 �s VC e i Nis <br />