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1, <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ 6 cr X71 <br /> y�rc�la S S S �. 0 Jobb' o <br /> 132 <br /> Facility • <br /> Address: 4 7T. d.,?PA t I 1 ►t Date: �— S'_ rwo/v,`To <br /> CA� Sampler: ` <br /> City <br /> ' WelI ID U W --7 T — - - - Well Condition: - o - K - - <br /> �q <br /> Well Diameter �++� Hydrocarbon Amount Sailed <br /> ro ' Thickness' If a foroducUrl <br /> watetGallon <br /> 69 <br /> Total Depth 7 A r. Volume = 0 17 3" = 038 d" = b oo <br /> q c, Factor(VF) 6' = 1.50 12' = 5 80 <br /> Depth to Water � I � � 1 f• <br /> X VF 0 /7- =9'd? X 3 (case volume) = Evvmared Purge Volume: A (gat <br /> Purge Sampling <br /> Equipment' Bailer Equipment. Des osable Saner <br /> Stack Bailer <br /> uctlo Pressure Saler <br /> ZrU-n—dfos Grao Sample <br /> Other Otner <br /> Staring Time Weather Conamons <br /> Samoung Time C1 0-2-S--��) Water Coior T CLEA Odor <br /> Durging Fiow Rate Clem Sediment Description <br /> Dic well ce-watery If yes, Time Volume ' <br /> Time volume pH Conduc--aviry Temperature - - -D O ORP Alkai maty - <br /> �.) ,Lmha cm er (mv) (PP-) <br /> 0:z 10 <br /> 7 ' 19l� E�9 _ 7 0 <br /> LABORATORY INFORMATION <br /> SAMPLE In Iz} - CONTAINER RE-F=[G, PRESE9V TYPE LABORATORY ANALYSES <br /> I Y I SEQUOIA � 7PHfG1/bxexlm=beIVN <br /> V � - <br /> 1 <br /> COMMENTS in18-k- E <br /> LY <br /> V97 Ilesdat IR++ <br />