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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ 72u`o <br /> Facility-k zwog Job#: a I <br /> Address: _ Z ! jV211 He,Ld Date: <br /> City: Sampler: <br /> Well ID Well Condition <br /> Well Diameter rn Hydrocarbon Amount Balled <br /> Thickness � (feet) (product/water) (Gallonsl <br /> Tota! Depth -y` Z- tt. Volume 2"= O 17 3" = 0 38 4"W 0 66 <br /> Depth to Water tr <br /> 5. 2 Factor(VF) 6"= 150 12"= 5 80 <br /> ��•� ` X VF d �� =3.2L X 3 (case volume) = Estimated Purge Volume 7g al <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment isposable Bail <br /> Stack Sailer <br /> cti n Pressure Sailer <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time 1 Z Weather Conditions <br /> Sampling Time Water Calor ej_tl_ Odor iS:10 <br /> Purging Flow Rate m Sediment Description <br /> Did well de-water? If yes, Time Volume foal 1 <br /> Time Volume PH Conductivity Temperature D 0 ORP AUQ-d ty <br /> ZF (mid) (mom (Ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE Id (S) - CONTAINER REFRIG PRESERV TYPE ,' LABORATORY ANALYSES <br /> 3 Y MCI SEQUOIA TPH(Gilbtexlmtbe <br /> -� Z ora A 6)b V • - <br /> 4r r2 -%- T ' <br /> COMMENTS: <br /> 9197 Mlaacfml <br />