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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ To sGo <br /> Facility-10: ///9�J Job#: <br /> Address: /6-00 IWA _ Date: <br /> City: Z�ft y Sampler: <br /> Well ID M 61-111 Well Condition: 6 &-- <br /> Well Diameter Z in. Hydrocarbon Amount Bailed <br /> Thickness: f e.11 (product/water): all n <br /> Total Depth S Volume 2"m 0.17 3"=0.38 4"=0.66 <br /> Factor(VF) 6"= ISO 12"= 5.80 <br /> Depth to Water � •� -� <br /> X VF 0• ) _1-?±-X 3 (case volume) = Estimated Purge Volume: 31-l. <br /> Purge D—is posaof B Sampling <br /> Equipment: Equipment: is os ble Baile <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: Other: <br /> 3 Starting Time: _1� • 3 i - Weather Conditions: a <br /> u Water Color: _ Y_ r� 0dor: ruJ <br /> Sampling Time: f Z. ` <br /> Purging Flow Rate: m. Sediment Description: <br /> Did well de-water? If yes; Time: I S IVolume: r al. <br /> Time Volume pH Conductivity Temperature D.O. ORP Alkalinity <br /> (gal )urnhoslcm " / (rng(L) (m V) (ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE ID (1l1 CONTAINER FIEFRIG. PRESERV. TYPE LABORATORY ANALYSES <br /> r 3 !�lD,h Y �' I SEQUOIA TPH(G)lbtexlmtbe <br /> as <br /> COMMENTS: <br /> 9197•Ildd�t�rtn <br /> j'. <br /> l <br /> f P <br />