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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ &xe0 <br /> Facillty At IMP Job#: �1 adn � <br /> Address: Y Date: V't.d foo �/Z A�,� <br /> City: S/b zyav� C� _ Sampler: <br /> Well ID Well Condition. Olt. <br /> Well Diameter Hydrocarbon Amount Bailed <br /> Thickness E7- t'C> Ifeetl (productlwater): <br /> Total Depth Volume 2"-0 17 3"=038 4"=0 66 <br /> Factor(VF) 6r= 1.50 12"—5.80 <br /> Depth to Water <br /> Z X VF = y,�I X 3 )case volume) - Estimated Purge Volume 13 f oal.1 <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: a Ie <br /> Sta Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other. Other: <br /> Starting Time: IL'o Sr Weather Conditions: 9j1* . <br /> Sampling Time• 3L? S Water Color: .. [ a Odor: <br /> Purging Flow Rate: _ 1 Y` anm. Sediment Descnption: <br /> Did well de-water? rt<2 If yes; Time: Volume: raal.l <br /> Time Volume pH Conductivity Temperature D O. ORP Alkalinity <br /> 3"off �� o�_ LcWcm q�6 -- {m�-} {mh (Ppm) <br /> S� 107,2- 61j <br /> 13•� 10 6 . <br /> LABORATORY INFORMATION ` <br /> SAMPLE ID V)- CONTAINER REFRIG PRESERV TYPE f LABORATORY ANALYSES <br /> t <br /> vw r X v,0 it Y t} CG 1 SEQUOIA TPH(G)1bteWhttbe <br /> COMMENTS: — .• <br /> SW4kid■cem <br />