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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility 0 7 Job#: 1 570 144: <br /> Address: 2Z-0 3 L I I4' S �' Date: S, 2 4- y Y _ <br /> City: r c tj Sampler: <br /> Well ID _ Well Condition: <br /> Well Diameter Hydrocarbon /� Amount Bailed <br /> Thickness, • (feed (product/water): �� )Gallons) <br /> Total Depth 3 n Volume 2"=0.17 3"=038 4'=0.66 <br /> Factor(VF) 6"= LSO 12'= 5.80 <br /> Depth to Water _ _ -7; ��__ft. <br /> / r <br /> X VF _-74, X 3 icase volume) = Estimated Purge Volume: (gal.) <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Disposable8aile[-- <br /> Stack Sai er <br /> (---§u�ctii6n.- Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: Other: <br /> Starting Time; ?=0 _ Weather Conditions: C 1P A l _. <br /> Sampling Time: _ )A ;a A. Water Color: ' I Odor:_ vt c•,k <--- <br /> Purging Flow Rate: IL-aorn. Sediment Description: :a ej 0, Q <br /> Did well de-water? If yes; Time: Volume: <br /> Tune Volume pH ConduonMry )`"Temperature D.O. ORP AlkaIinicy <br /> pmhos/cm ,F 6 (mg/L) (mV) (ppm) <br /> --- -�� :2-37 <br /> LABORATORY INFORMATION <br /> SAMPLE ID (p) - CONTAINER REFRIG. PRESERV. TYPE -� LABORATORY ANALYSES <br /> U -:�V,(?/� Y L SEQUOIA TPH(G)lbtex/mtbe <br /> /r i wt la A, %/ H <br /> COMMENTS: <br /> 9/97-n.a,c.rrrn <br />