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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ To `A::) <br /> FacllltyO 16T Job#: I S 0135 <br /> • Address: ' v� �-. Date: _6x61" 2f 6lz,ZlM <br /> City: SSampler: Z 51- &jr S <br /> Well ID #4Lr-- Well Condition: c7 j— <br /> Well Diameter ' L Hydrocarbon Amount Bailed <br /> Thickness: f (product/water) (Gallons) <br /> Total Depth ?" Volume 2' -0 17 3'-038 4" - 0 66 <br /> Z -�� Factor(VF) 6'a 1.50 12"-5 80 <br /> Depth to Water �. <br /> X VF X 3(case volume) - Estimated Purge Volume <br /> Purge Disposable Bader Sampling <br /> Equipment- Bailer Equipment: is asa�Safler <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other. Other- <br /> Starting Time 1 S Weather Conditions �— <br /> Sampling Time L'7,10 Water Color: Odor r�-v <br /> Purging Flow Rate Sediment Description. <br /> Did well de-water7 if yes; Time: Volume: ioal.l <br /> Time Volume pH Conductivity Ten gmmture D.O ORP AUuLU uty <br /> 7' •- -- ) k4s/ )(/fDp •F (m> .) (mom {gpm} <br /> LABORATORY INFORMATION <br /> SAMPLE ID (9)- CONTAINER REFRIG,. PRESERV.TYPE r' LABORATORY ANALYSES <br /> MW— 3 vlo,9 Y MCI SEQUOIA gTPH(G)lbtaximthe <br /> Z- <br /> e� 's dea <br /> COMMENTS. <br /> • <br /> *W-r-ian.fan <br />