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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility ,b:F- ' Job#: ^/ffa !qOY <br /> Address: 920 3 /� �. Date: /z rl/Fg <br /> City: _ 7r4-c-_ Sampler: <br /> Well ID a Well Condition: de? <br /> Well Diameter 3 in. Hydrocarbon Amount Bailed <br /> [[LL Thickness: _ 445 (Le-q (product/waterl: _ (Gallons! <br /> Total Depth /T'�Z" Volume 2"= 0.17 3"=0.38 4" = 4.66 <br /> Depth to Water <br /> ¢-Z ftFactor (VF) 6"= 1.50 12"= 5.60 <br /> O <br /> S• X VF X 3 (case volume) = Estimated Purge Volume: S-1-0i. <br /> Purge Disposable Bail Sampling -� <br /> Equipment: ai er Equipment: is osa le Bal r <br /> Stack Bailer <br /> itgmmb Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: Other: <br /> Starting Time: /-2 Weather Conditions: 6z6A- <br /> Sampling Time: / 0 �� Water Color: Odor: scTc <br /> Purging Flow Rate: / aom. Sediment Description: <br /> Did well de-water? If yes; Time: Volume: laal.! <br /> Time Volume pH Conductivity Temperature D.O. ORP Alkalinity <br /> Val.) hoslcm)(/00 OF (mg/L) (mV). (PPM) <br /> LABORATORY INFORMATION <br /> SAMPLE ID CONTAINER REFRIG. PRESERV.TYPE , LABORATORY ANALYSES <br /> Gl1- S <br /> 3 V69 Y MCI SEQUOIA TPH(G)Ibtex/mtbe <br /> COMMENTS: 1le jitz 4 <br /> !/!7-Mldst.tmn <br />