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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ rose-a <br /> Facility > B-fig Job#: <br /> Address: 110 3 �• �� �' Date: <br /> City: 1~r- Sampler: r/� <br /> Well ID 11,33 Well Condition: <br /> at- <br /> Well Diameter 3 in. Hydrocarbon Amount Bailed <br /> Thickness: fee (product/waterl: allons <br /> Tota[ Depth Z_5�•�� ft, Volume 2" =0.17 3" = 0.38 4" =0.66 <br /> Depth to Water ft. <br /> Factor(VF) 6"= 1.50 12"= 5.80 <br /> �•9� <br /> X VF X 3 (case volume) = Estimated Purge Volume: /7}Z foal! <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: po ble Bai r <br /> Stack Bailer <br /> s4MD Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: Other: <br /> Starting Time: Weather Conditions: <br /> Sampling Time: :8c, Water Color: 44h Odor: r-o <br /> Purging Flow Rate: A tr aom. Sediment Description: <br /> Did well de-water? /10 If yes; Time: Volume: 1oai.1 <br /> Time Volume �pH Conductivity Temperature D.O. ORP Alkalinity <br /> 11- -iy { o�cm 7 (a`g/I) {mV} (ppm) <br /> 1/: 19 /4 <br /> 1- 0 <br /> 9 , Z0 <br /> �Z ` + •J J 6?- w 1. <br /> LABORATORY INFORMATION <br /> SAMPLE 10 V) - CONTAINER REFRIG. PRESERV.TYPE , LABORATORY ANALYSES <br /> U-33 3 16/01} Y Me i SEQUOIA TPH(Gl/btex/mtbe <br /> COMMENTS: <br /> 9197•nMaae.fr+n <br />