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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ -ro-sc'D <br /> Facility 6 811 „ Job#: I9'6/3S <br /> Address: X90 Date: M7 <br /> City- r� c, _ Sampler <br /> Well ID l"1— Well Condition: 6?1�— <br /> Well Diameter T in, Hydrocarbon Amount Bailed <br /> Thickness ee (product/water} Gallon <br /> Total Depth $�" VoIume 2"=0 17 3"=0 38 4"= 0 66 <br /> Depth to Water h.•7 Factor(VF) 6"= 150 12" =5 80 <br /> X VF d.—/04 = t 1-?-X 3 (case volume) = Estimated Purge Volume SZ Elul) <br /> Purge Disposable Bailer Sampling <br /> Equipment. Bailer Equipment- Disposable 13311er <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grab Sample <br /> Other Other <br /> • Starting Time z— Weather Conditions <br /> Sampling Time `�_ • � Water Color Odor _r,- <br /> Purging Flow Rate Z q0M Sediment Description <br /> Did well de-water? )w If yes, Time Volume laara <br /> Tune Volume PH Conductivity Temperature DO ORP Alkalinity <br /> (!� 11 oS`Z 4r— (mg/L) (mV) (Ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#1 - CONTAINER REFRIG PRESERV TYPE i LABORATORY ANALYSES <br /> f11�� 3 ifti-q Y SEQUOIA TPH(G)/btex/mtbe <br /> COMMENTS <br /> 9197 Ileldet frm <br />