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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client) <br /> Facility 4 7 Job#: <br /> Address: 2 0 '' 1 Date: S Z 4- `l <br /> ' .r <br /> " City: r Sampler: <br /> Well ID b Well Condition: d <br /> Well Diameter 3 in Hydrocarbon Amount Bailed <br /> Thickness: =, ifee3l Eproduatwated: ( ellonsl <br /> Total Depth _,�, �' Z � Volume 2"=0.17 3"-838 4" =0.65 <br /> Depth to Water <br /> 6 S Factor(VF) 6"= 1.50 12" =5.80 <br /> 7 / X VF X 3 (case volume) = Estimated Purge Volume: al_ <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Disposable Bailesi <br /> Stack Bai er <br /> Suction._— Pressure Bailer <br /> `--f'rundfos Grab Sample <br /> Other: Other: <br /> Starting Time: <br /> Weather Conditions: <br /> Sampling Time: w+ Water Color: C Odor: NE►+ <br /> Purging Plow Rate: avm. Sediment Description: -k Q- <br /> Did well de-water? if yes; Time: Volume: al. <br /> Time Volume pH Conductivity I `Temperature D.O. ORP Alkalinity <br /> ;anhos/an F (mg/L) (mV) (Ppm) <br /> r3, 1 O �74 f. $ 7e-7 <br /> - —�-= 5 7 lr.y 7(. f <br /> ', S F?-3� • g <br /> LABORATORY INFORMATION <br /> SAMPLE ID It1 - CONTAINER RFFRIG. PRFSERV.TYPE LABORATORY ANALYSES <br /> U � � Y }� C L SEQUOIA TPH(G)1btex/mtbe <br /> COMMENTS: <br />