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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> •Facility r Job#: /00 of <br /> Address: �� ^ Date: i Z 402:16 1 ZA AA n <br /> City: S{» Sampler: _ r/'c�4jkl --- <br /> Well ID Mt./__�� Well Condition: d� <br /> Well Diameter 7 tn. Hydrocarbon Amount Bailed <br /> Thickness 40 '� rteetl (product/water): <br /> Total Depth Volume 2"—0 17 3"a 0.38 4"=0 66 <br /> Factor(VF) 6 —= t SO 12"=S 80 <br /> Depth to Water _ Z$'•69 n, <br /> r �q X VF X 3 lease volurne) - Eshmated Purge Volume a j CD (081.1 <br /> Purge Disposable Bailer Sampring <br /> Equipment: Bader Equipment: osa ie Bal e <br /> Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: Other <br /> Starting Time- Weather Conditions <br /> Sampling Time: I Z i I Water Color- Odor. <br /> Purging Flow Rate: , l gom. Sediment Description: <br /> Did well de-water? h&2 If yes: Time: Volume: _ r0aI.1 <br /> P T D.O. ORP Madmi <br /> Time Volume H C,asuueai�t�* e:np�'e ry <br /> Lanh S� fo• . � (mSII.) (mV) (Ppm) <br /> LABORATORY INFORMATION r <br /> SAMPLE ID CONTAINER REFRIG PRESERV.TYPE j LABORATORY ANALYSES r <br /> M w,/5- y lid f! Y 11 G i SEQUOIA TPH(G)Ibtwdffitbe � a <br /> COMMENTS: <br /> sus <br />