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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ Job#: <br /> Facility� - <br /> Line �� Date: x r rCi� <br /> Address: (� <br /> �— Sampler: <br /> City: 'r <br /> Well ID <br /> Mt,() --� Well Condition: CSC '— <br /> Hydrocarbon Amount Sailed <br /> Well Diameter Thickness: 1ofoduct1weterl. <br /> 2* 017 * � 4" 0.66 <br /> Total Depth 'aa Volume 3 038 <br /> Factor(VF) 6" 1 SO 12" a 580 <br /> Depth to Water <br /> •L X VF X 3 (case volume} - Estimated Purge Volurne: <br /> Purge Disposable Balser Sampling <br /> Equipment: Equipment: 4�jsrposable <br /> Bsl <br /> Pressure <br /> Bailer <br /> Suction - Grab Sample <br /> Grundfos Other: <br /> Other: of <br /> Starting Time: Weather Conditions: <br /> Z Water Color: Odor: <br /> Sampling Time: <br /> P � Sediment Description: <br /> Purging Flaw Rate: <br /> If yes; Time: Volume: <br /> Did well de-water? <br /> D.O. ORP Alkalinity <br /> Time Volume PH Conhu scan. Temperature (m�) (mV) (PPM) <br /> zS <br /> LABORATORY INFORMATION <br /> �aoRATORY ANALYSES <br /> SAMPLE ID (#i - CONTAINER REFRIG PRESERV TYPE • .SEQUOIA TPHIGIIbtaxlmtba <br /> y 41L <br /> COMMENTS: <br /> sra�.n.w.e.m� <br />