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y <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility o Jab#: _�, 0 f 44- <br /> Address: 2� Date: S Z 4- ,71 _ — - <br /> City: r c Sampler: <br /> Well ID Well Condition: <br /> Well Diameter In Hydrocarbon Amount Bailed <br /> Thickness:61- f e (product/water): _ L" dG <br /> ' a(lons) <br /> Total Depth �' tL <br /> _ <br /> _Vol ume�2"=0.17 3'=038 4" =0.66 <br /> Factor(VF) 6" = ISO t2":7 -80 <br /> Depth to Water -7 , ft.. e I— <br /> x VP •5� 5 /X 3 (case volume) = Estimated Purge Volume: (gal.) <br /> Purge Disposable Bailer Sampling ~1 <br /> Equipment: Bailer Equipment: Za <br /> sposable Bafr- <br /> Stack i er <br /> Suction--- " Pressure Bailer <br /> undfos Grab Sample <br /> Other: Other: <br /> Starting Time: r� Weather Conditions: <br /> - Sampling Time: -,e A^^ Water Color: C �e s Odor; <br /> Purging Flow Rate: Z tipm, Sediment Description: - <br /> Did well de-water? If yes; Time: Volume: al. <br /> Time Volume pH Conductivity 1" Temperature D.O. ORP Alkalinity <br /> (gam) _ �mhos/cm F (mg(1•) (mv) (ppm) <br /> X 7- <br /> f_ABORATORY INFORMATION <br /> SAMPLE la (#1- CONTAINER REFRIG. PRESERV.TYPE •� LABORATORY ANALYSES <br /> U 5 •�v�1/� Y }} C L_ SEQUOIA TPH(G)Ibtexlmtbe <br /> -- ---- - --COMMENTS:-- - --- ----- ------ -.. -- - ------------ - --- ---- ------- <br /> 9f97•Il�ldai.lrm <br />