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+ WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ TDsc 0 <br /> Facility# s 8�6 Job#: 1 fid! <br /> . Address:2-70 Ali—Cf dard Date: 311 <br /> City- 4 kc-4A en _ Sampler: 1✓a�t,� - <br /> Well ID m lr—3 Well Condition ZAI- <br /> Well Diameter Z in Hydrocarbon Amount Bailed <br /> Thickness- _ (feet) (product/water) T _ [Gallons <br /> Total Depth •Q --ft Volume 2" = 0 17 3" =038 4" =0 66 <br /> Factor(VF) 6"= 150 12" = 5 80 <br /> Depth to Water � � S�_ft. <br /> t ; X VF V+/T =3 1 •t- X 3 (case volume) = Estimated Purge Volume y•S (call <br /> Purge Disposable Bailer Sampling <br /> Equipment Bailer Equipment: lsposable Bailer <br /> Stack Bailer <br /> uc1I Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time L , 3 Weather Conditions G&-. <br /> Sampling Time Z Water Color Odor _j!!, <br /> Purging Flow Rate 1 Qom Sediment Description <br /> Did well de-water? hz If yes, Time Volume laal ) <br /> Tune Volume pH Conductivnty Temperature D O ORP A IWuuty <br /> z '3 �( al) µrnhos/cma(/Q0 F (mg/L) (mV) (ppm) <br /> - - • 3� �. �z �z.� <br /> 4 <br /> LABORATORY INFORMATION <br /> SAMPLE 10 CONTAINER REFRIG PRESERV TYPE .' LABORATORY ANALYSES <br /> 11 Gf 3 3 k/0-4 Y rrcl SEQUOIA TPH(Gl/btex/mtbe <br /> , , ZITS 4 K <br /> l A c✓ N'J r!g TPtE D <br /> COMMENTS: <br /> 9l47.1iN4aGtrm <br />