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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ C-"eVRoQ <br /> OcIllty q- 3 a3 z Job#: <br /> Address* $��0 Lo.ra SACs� 3-90• A3-DI <br /> Date- <br /> City- sm"wroa I G4 Sampler: <br /> s Well 1D W� 3 Well Condition Dlt� <br /> ;I. Amount Balled <br /> Well Diameterin Hydrocarbon <br /> Thickness fee {productlwater) 8' Gallons <br /> Total Depth �$' Volume 2" = 0 17 3" = 038 4" = 0 66 <br /> =actor(VF) 6'= 1 50 12" ==75 0 <br /> Depth to Water 33 .0 ft <br /> 15. g A X VF • = X 3 (case volume) = Estimated Purge Volume '0 al <br /> Purge Disposable Bailer Sampling <br /> Equipment Bailer Equipment Disposable Bailer) <br /> Stack, Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other <br /> Other <br /> �5t <br /> Starting Time Weather Conditions 5'�> , <br /> Sampling Time <br /> 3'.�2 Water Color Q Odor <br /> ' <br /> Purging Flow Rate <br /> p m Sediment Description StL <br /> Did well de-watery <br /> If es, Time Volume al <br /> y <br /> Time VolumepH Conductivity Temperature D O ORP Alkaluuty <br /> ju 4tiOm'l(too_ gF g (mg/L) (mV) (Ppm) <br /> 3' 31 goo <br /> LABORATORY INFORMATION <br /> SAMPLE ID llf) - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> Y L SEQUOIA T &i GTF-x M77K <br /> tv w- 5 doll'+ Vi AL G o 's S2� <br /> COMMENTS <br /> 9197 eblasl nm <br />