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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ loS� <br /> FacilityA_67-y Job#: <br /> Address: 3713 3 .F• Date: <br /> City: ThSampler: <br /> Well ID Well Condition: O� <br /> Well Diameter 3 in Hydrocarbon Amount Sailed <br /> Thickness: tet (product/water): (Gallonsl <br /> Total Depth •4 3 ft. Volume 2"= 0.17 3" = 0.38 4"= 0.66 <br /> Factor(VF) 6" = 1.50 12"= 5.80 <br /> Depth to Water �"Z�" n. <br /> ��•�/ X VF =L X 3 {case volume) = Estimated Purge Volume: <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: sabl iler <br /> Stack Bailer <br /> 4 4 Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: Other: <br /> Starting Time: f 3 d Weather Conditions: <br /> Sampling Time: Water Color: . Odor: <br /> kzcO <br /> Purging Flow Rate: 1• m. Sediment Description: 0"It <br /> Did well de-water? if yes; Time: Volume: i. <br /> Time Volume pH Conductivity Temperature D.O. ORP Alkalinity <br /> 3 ($a i p 8 8 )U60 (mgL) (mV) (Ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE ID j#)- CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> 3 VOR �� SEQUOIA TPH{G)/btex/mtbe <br /> COMMENTS: <br /> 'I!7•IwW��lrm <br />