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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> FacilltyA' T Job#: 180I38 , 85 <br /> Address: 4707 Pacific Avenue Date• <br />__City_: _ _ S nrktnn CA _ Sampler- rla./Li <br /> Well ID _ VW- Z Well Condition: , <br /> Well Diameter 4 tn. Hydrocarbon Amount Balled <br /> Thickness: o a OC.) iee (product/water): I} <br /> Total Depth !L Volume 2' - 0 17 3"- 0.38 <br /> 9'= 066 <br /> Depth to Water <br /> FZti, I <br /> Factor (VF) 6" = 1.50 12'= 5 80 <br /> X VF X 3 {case volume] = Estimated Purge Volume- (081,1 <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Disposable Bailer <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grundfos - Grab Sample <br /> Other: Other' <br /> Starting Time. Weather Conditions: <br /> Sampling Time: Water Color: Odor: <br /> Purging Flow Rate: anm. Sediment Description: <br /> Did well de-water? IT yes; Time: Volume: <br /> Time Volume PIR Condueuvity Tem ature D O. ORP Alkalinity <br /> (gal) Nmhos/em "F (m (mV) (PPM) <br /> LABORATORY INFORMATION <br /> SAMPLE ID j*)- CONTAINER REFRIG PRESERV. TYPE '- LABORATORY ANALYSES <br /> un L—VIAL— S1; TPHIGV!q be <br /> COMMENTS. <br /> 9l874wMat trm <br />