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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> tentl <br /> Facility - Job#: �? - <br /> AddressL1 n 12CA Date: - a G• oA <br /> City: Sampler: I:-"A,44j V- -r- <br /> Well !D MW — Well Condition: i LL ! <br /> Well Diameter _ C _j,,. Hydrocarbons Amount Belied <br /> Thickness: "� I roducttwstwl: <br /> Tota! Depth _ ,3•Z 3 ,g. v 2 -017 3"-G-98 4• 066 <br /> Factor; 07- 1.50 12" 3.8Q <br /> Depth to Water _ �: � tc_ <br /> •4 X VF -'�-5 X3 lca volume) - Estimeted Purge Volume: • 14 <br /> Penge (Disposable Bailer Sampling <br /> Eciuipment: Bailer Equipment: (Disposable Bailer) <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grundfos - Grab Sample <br /> fs Other.• Other: <br /> Starting Time: a ` Weather Conditions: _ . s 4.,1✓N �- <br /> Sampling Time: _ _ t 1�•- — water Color. c..AaaL - Odor• Ajo <br /> Purging Flow Ram: �' - -�. Sediment Description: <br /> Did well de-water? _ • 1.�d - If yes; Time: Volume: _ _ fouLl <br /> ThrAe Volwwc pH � Tempalbm D.O. ORP Aa>=Unhy <br /> : 3 tato Y Yt00j ( ta�Yl ) <br /> ►'• L�•o - 1�.GP5 IS. Uf M,k t•s`-Qpsr` <br /> LABORATORY INFORMATION <br /> SAMPLE 10 10) - CONTAWER REMO. PRESERV.TYPE ' • LABORATORY ANALYSES <br /> i+J I i/o Y 1-�L.L SEQUOIA ?PFI{Oi/b� pay <br /> COMMENT'S: i�A A 5-r Ex- iv C-e- _zc( A p <br />