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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET _ <br /> Client/ 7'69C-0 <br /> Facility t= 6-976 Job#: <br /> Address: ZatDate: <br /> 0 City- x ,✓ Sampler: �, <br /> Well ID ty Well Condition <br /> Well Diameter _ Z in, Hydrocarbon Amount Sailed <br /> .` Thickness Le (product/water) allons <br /> Total Depth � 'Z`f n Volume 2'= 0 17 3' - 038 4' =0 66 <br /> Depth to Water � '5"f, Factor(VF) 6' = 150 12"= 5 80 <br /> �. <br /> I'—'q X VF 1j 79 X 3 (case volume) = Estimated Purge Volume M ! <br /> Purge Disposable Bailer Sampling <br /> Equipment. Bailer Equipment: osable B ler <br /> Stack Bailer <br /> <92=13 Pressure Bailer <br /> Grundfos Grab Sample <br /> Other- Other <br /> Starting Time lid.:ta Weather Conditions <br /> Sampling Time /a; 3 Water Color � �@ Odor rz-0 <br /> Purging Flow Rate 1 Qom. Sediment Description. <br /> Did well de-water? If yes, Time. Volume (air <br /> Time Volume PH Conductivity Temperature DO ORP Allcahmty <br /> _ — (/al L_ ,., gmhas/cm)(j�ja 6•F (m$(L) (mV) (ppm) <br /> Ie:2.1"' "s _ S' <br /> LABORATORY INFORMATION <br /> SAMPLE ID {#) - CONTAINER REFRIG PRESERV TYPE= j LABORATORY ANALYSES <br /> H&/ <br /> s 3 I/�� YG SEQUOIA TPH(G)/btexlmtbe <br /> Z VJ-4 -c <, SLsa 6 aK • <br /> lilrd Nc tTpttb <br /> COMMENTS: <br />