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r a <br /> WELL MONITORINGISAMPLING <br /> Client! T©SCo FIELD DATA SHEET <br /> Jab#: <br /> Address: 22Q f _ 4l-"f HQ&Z rj&s. Date: 3 <br /> City: _ . x4nC,ItSampler: <br /> Well ID IV—5S Well Condition <br /> Well Diameter m Hydrocarbon Amount Sailed <br /> _ Thickness feet {productlwaterl Gallons <br /> Total Depth 1 S "� Volume 2"= 0 17 3' = 0 38 4'= 0 66 <br /> Depth to Water <br /> Factor(VF) 6"= 150 I2' =5 80 <br /> 5 ft <br /> I 1 X VF &Z- _ b X 3 (case volume) Estimated Purge VQfume 17 D l al <br /> Purge Disposable Hader Sampling ---� <br /> Equipment Bailer Equipmentis osable er <br /> Stack Bailer <br /> ucu0 Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> • Starting Time 1L'u z Weather Conditions <br /> Sampling Time /L I5 Water Color dr.. Odor )e <br /> Purging Flow Rate qgm Sediment Description <br /> Did well de-watery n0 If yes, Time Volume foal I <br /> Time Volume PH ConducuV:ty Temperature D O OAP A1kaluuty <br /> (mg(L) (mv) (Ppm) <br /> 6 O� -- 6? o <br /> LABORATORY INFORMATION <br /> SAMPLE ID 111) - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> 14 1CJS 3 sQ.q Y SEQUOIA TPH(GVbtex1mtbe <br /> Z •N <br /> 1 4 ,1 7 t ) ?2-666 OV.Ca <br /> • COMMENTS: <br /> us» � <br />