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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ � �� � � <br /> FacilityA" C.�, _ Job#i: <br /> Address: 1 0 /1� �= I ����Z�CXc� � Date: y Z G Z— <br /> City: � t t f �,� C _ Sampler: <br /> Well ID p�Li — 2 Well Condition _�k- _ <br /> Well Diameter Hydrocarbon Amount Bailed <br /> n <br /> Total Depth <br /> ��L7�� {teed {productlwaterl; lion <br /> �� <br /> Volume 2'= 0 17 3" = 038 4"- 0 66 <br /> Depth to Water it <br /> Factor(VF) 6' = 1.50 12' = 5 80 <br /> '�$ <br /> S 'L—x VF =f L' :�X 3 {case volume) = Esumated Purge volume- Z •S <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Egwpment: Ispos`able 8a <br /> Stack Bai e <br /> Suction Pressure Bailer <br /> rundfos - Grab Sample <br /> Other: Other: <br /> Starting Time: Z u Weather Conditions: Cs1� <br /> Sampling Time: / z- � Water Color: dor: <br /> Purging Flow Rate: . ygm. Sediment Description- <br /> Did well de-water? , ? If yes; Time: Volume <br /> Time Volume PH Conductivity Temperature D O ORI' Alkalinity <br /> ( al) µmhos/cm (mg/L) (mV) (ppm) <br /> ? <br /> LABORATORY INFORMATION <br /> SAMPLE ID I#I- CONTAINER REFRIG PRESERV.TYPE LABORATORY ANALYSES <br /> JAW - X VOA VIAL Y HCL SEQUOIA TPH(G)/tnexlmtbe+ ' � 3 <br /> COMMENTS: • <br /> 9/974wiclat frm <br />