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i <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility 17 0 %99 Job#: 19,0144- <br /> Address: <br /> 9,0t44-Address: _"?203. c' 1� � s Date: 5 2- 4- ell <br /> City: Sampler: <br /> Well ID _U _ Well Condition: <br /> Well Diameter 3in, Hydrocarbon Amount Bailed <br /> Thickness: Z2 (feetl (Produatlwater): (Gallons) <br /> Total Depth 7. 36 ft. <br /> Volume 2'=0.17 3" =0.38 4'= 0.66 <br /> Depth to Water <br /> g .10 ft. Factor(VF) 6"= 150 12'= 5.80 <br /> r <br /> 2 X VF 7b = -7 LX 3 (case volume► = Estimated Purge Volume: .I (gal.) <br /> Purge Disposable Bailer Sampling -N, <br /> Equipment: Bailer Equipment: Disposable Baile <br /> Stack Bai er <br /> Suction-- Pressure Bailer <br /> �fos Grab Sample <br /> Other: Other: <br /> i <br /> Starting Time: J : I<- _ Weather Conditions: j[p A t, <br /> Sampling Time: I 40' w1 Water Color: C ie car _ Odor: �e►� E. <br /> Purging Flow Rate: _ 1-a rn, Sediment Description: _ _ ;A Q •k QL <br /> Did well de-water? If yes; Tii\) <br /> Time: Volume: al. <br /> me Volume pH Conductiviey 1 " Temperature D.O. ORP Alkalinity <br /> (S µ ° 7- _ (mg/i) (mV) tPFm) <br /> I Tom _ <br /> -- - -_ /( Q <br /> LABORATORY INFORMATION <br /> SAMPLE ID (p}- CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> U '�d47 4- Y )F CL_ SEQUOIA TPH(G)lbtexlmtba <br /> COMMENTS: <br /> srst-n.as.rrm <br />