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WELL MONITORING/SAMPLING <br /> Client! -roSCo FIELD DATA SHEET <br /> Facility-& $SS 6 _ .fob#: <br /> . Address: Z OI A/" Date: 11.311 <br /> City: Sampler: <br /> Well 10 A Idl S Well Condition: <br /> Well Diameter Z in Hydrocarbon Amount Bailed <br /> Thickness' IfeeTI (product/water) Gallons <br /> Total Depth I/ <br /> Volume 2"= 0 17 3" = 0 38 4" = 0 66 <br /> Depth to Water +a,0 V fr. Factor(VF) 6'= 150 12" = 5 80 <br /> � X VF �i - �� X3 (case volume) = Estimated Purge Volume foal <br /> Purge Disposable Bailer Sampling --� <br /> Equipment Sailer Equipmentis usable er <br /> Stack Bailer <br /> uctfa Pressure Sailer <br /> Grundfos Grab Sample <br /> Other Other <br /> • Starting Time I2 � 3o Weather Conditions <br /> Sampling Time i L: V -L Water Color <br /> Odor tLO <br /> Purging Flow Rate i Qom Sediment Description <br /> Did well de-water? X0 If yes, Time Volume r al <br /> Time Volume pH conductivity Temperature D O ORP Alkaluuty <br /> .L ($a1 pmhos/anfto OF (mg/L) (mV) (Ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE Io {f�}- CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> H wt q-s 3 fo:Q Y G SEGUOIA TPH(GM%ex/mtbe <br /> If 2- `+ r s ?2-641(6) -0 �D <br /> it NCS dl'C —t-- rP � <br /> COMMENTS: <br /> sus741411an.nm <br />