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iRINGISA,MPLING <br /> F-i.:L0 DATA SHEET <br /> Client/ <br /> _ <br /> Facility& 5976 Job#� _ $ - <br /> Address Date I LZZIST - <br /> lty• n Sampler. <br /> Well 1D �,� Z Well Condition <br /> Well Diameter Hydrocarbon Amount Bailed <br /> Thickness _ {feet) (product/water) (Callcnsl <br /> Total Depth _ Z [ ?'tj, Volume 2' = 0 17 3" = 0 38 4• = 0 66 <br /> Depth to Water �+ Zg ft <br /> Factor(VF) 6' = 150 12' = 5 80 <br /> f 7 � <br /> I X VF =1 Dg X 3 (case volume) - Estimated Purge Volume <br /> Purge Disposable Bailer Sampling <br /> Equipment Bailer Equipmentosmole B le, <br /> Stack Bailer <br /> Pressure Bailer <br /> Grundfos Grab Sample _ <br /> Other Other <br /> Starting Time Z' Z Z) Wea--,,er Coif :c-s" <br /> Sampling Time 1, 5 Weer Colcr ,�.t�,^ Odor _ cox) <br /> Ourging Flow Rate 1 aorz Sediment Desc• p:,or) Q!M!r�- xlzC - „ - <br /> Did well de-water? ,_._ YI-0 If yes, i Mme Volume (gal <br /> Time Volume PH Conduetiviry Tcnpc=ture D O ORP Alkaluuty - <br /> ` (gal ) � �smhoslcm7l'100 •F (mVQ (mv) (porn) <br /> :ao <br /> LABORATORY INFORMATION <br /> SAMPLE 10 (m) CONTAINER RF--91C PR=_SERV TYPE LABOPATORY ANALYSES <br /> N rel-2 3 ✓a.q Y 14G i SEQUOIA I TP6-(G)lb;ex1mtbe <br /> L; Z Vv.4 <br /> Y <br /> COMMENTS <br /> >tr��ff.kat.nm <br />