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r WELL MONITORINGISAMPLING <br /> Client/ 7OSG o FIELD DATA SHEET <br /> Facility SSS 6 Job#: 1 D 13 <br /> Address: ? O 1 44-r'f M r�1 (`.�, d Date: <br /> City: S G� Sampler: <br /> Well ID Well Condition <br /> Well Diameter _ in., Hydrocarbon Amount Bailed <br /> Thickness' feet (productlwater) (Gallons) <br /> Total Depth Z �� Volume 2" = 0 17 3' = 038 4" = 0 66 <br /> Depth to Water ft <br /> Factor(VF) 6"= 150 12"=5 80 <br /> �•� <br /> 18' 7 �1- X VF _�' J X 3 (case volume) = Estimated Purge Volume [cal I <br /> Purge Disposable Bailer Sampling <br /> Equipment Bailer Equipment: is osable er <br /> Stack Bailer <br /> uctlo Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time /Z 5,-%- Weather Conditions <br /> Sampling Time / Water Color Odor <br /> Purging Flow Rate / com Sediment Description <br /> Did well de-water? If yes, Time Volume teal t <br /> Time Volume pH Conducuvity Temperature D O ORP AlkaLmty <br /> mmhos/cm m <br /> }C,I00 •F - ( gfL) (mV) (ppm) <br /> Sid- <br /> LABORATORY INFORMATION <br /> SAMPLE 1D {#1 - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> W— 3 ✓Q;9 Y NCl SEQUOIA TPHIGMtexlmtbe <br /> i <br /> It <br /> AIC),Ic <br /> COMMENTS: <br /> ��-+wiaar.rn� <br />