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" WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ 7-6seD <br /> Fac(Iity-��-- -. - -. Job#: , IgD 13 -- <br /> • Address: '14o / Ux-sf Marro lea...,,_ Date. __71097 _ <br /> City: _ a �Z)e,fid el _ Sampler ilaa. <br /> Well ID 1"1 U/, r Well Condition zx_x <br /> Well Diameter Z in. Hydrocarbon Amount Balled <br /> TI11CkneSS 'CPee[L_ (product/water) Gallons <br /> Total Depth n Volume 2" = 0 17 3" = 038 4" = 0 66 <br /> Depth to Water rt. <br /> Factor(VF) 6"= 150 12"= 5 80 <br /> -�'�' <br /> 1g- X VF 1/.- X 3 {case volume} = Estimated Purge Volume y al <br /> Purge Disposable Bailer Sampling --� <br /> Equipment Bailer Equipment Dis---" le Bader <br /> Stack Baler S 13 <br /> cti Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> • Starting Time Z Weather Conditions ' <br /> Sampling Time ?�_' Water Color Ayra_ Odor r__6 <br /> Purging Flow Rate f aom Sediment Description <br /> Did well de-watery rte`) If yes, Time Volume (gal) <br /> Time Volume pH Conducuvity Temperature D O ORP Alkabuuty <br /> (gal) kmhos/cm)U O "F (mgR-) (mv) (ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE 10 {q} - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> MVi— 3 ✓Q4 Y 4 SEQUOIA TPH(G)lbtex/mtbe <br /> t t z V64- 726,0,�Ie) - �uu <br /> . COMMENTS: <br /> 9187-flda�trim <br />