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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ T]c� .lob#: O <br /> efactlity <br /> Address: ` . Date: 1 Z <br /> City: SSampler: <br /> Well ID Y _ 3 Well Condition: aAl — <br /> Well Diameter t Hydrocarbon Amount Bailed <br /> Thickness, _ E7- (Producttwster): _ AGallons) <br /> Total Depth Volume r=0 17 3'=0 38 4"–0 66 <br /> Factor(VF) 6"= 1.54 12'=5.80 <br /> Depth to Water z <br /> z9 X VF X 3(case volume) = Estimated Purge Volume. ZZ lail{-1 <br /> Purge Disposable Bailer Sampling �— <br /> Equipment: Balser Equipment: <Z;� aa le <br /> Stack Bailer <br /> suctign Pressure Bailer <br /> run Grab Sample <br /> Other: Other, <br /> leStart+ng Time: Z' Weather Conditions. d Vw <br /> Sampling Time Water Color: Odor. <br /> Purging Flow Rate. J. 3 gam Sediment Description: Cipilt- <br /> Did well de-water? If yes; Time: Volume: (281.1 <br /> Time Volume PH Conductmty Tcmperatu= D.O. ORP Alloshmrcy <br /> g S' '`t hoslcm p z 6 9.4 (mom•) (mV) ("M) <br /> sc> <br /> LABORATORY INFORMATION <br /> SAMPLE ID ( )- CONTAINER REFRIG. PFIESERV.TYPELABORATORY ANALYSES <br /> If y V d Y y Ci l +SEQUOIA TPHiG)lb Whitbe 6 0 S <br /> • COMMENTS: <br /> 91974Mwaatm <br />