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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ Tosco <br /> �'1'6Job#: Ito/ <br /> / <br /> Facility 3 <br /> Address: 1 Y-ejDate: <br /> City: - n Sampler: &.LA&, <br /> Well ID ;4U— Well Condition. _ &*- <br /> Well Diameter Hydrocarbon Amount Baled <br /> _ Thickness: 5P Ifee (oroductlwated nallans <br /> Total Depth 'Z h_ Volume 2'=0 17 3•=038 4"=0 66 <br /> Depth to Waterft <br /> Q '�� Factor(VF) 6"= 1-50 13" S 80 <br /> T7-T1 X VF 044 _�� X 3 (case volume) :* Estimated Purge Volume 3`:�f Iaal 1 <br /> Purge Disposable Sailer Sampling <br /> Equipment SailerEquipment: lsposable ajEer <br /> Stack <br /> uctl Pressure Bader <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time S:/ ::� _ Weather Conditions -- <br /> Sampling Time g-, 35- Water Color C Odor <br /> Purging Flow Rate agm, Sediment Description <br /> Did well de-water? _1=0 If yes, Time Volume (gal i <br /> Time Volume pH Condumviry Temperature D O ORP Allcaluuty <br /> ( 21) µmhoslcm� OXO (mg(L) (mV) (ppm) <br /> �• � 8 �T_ � G • yl — � • s <br /> 6 --f t <br /> LABORATORY INFORMATION <br /> SAMPLE 10 (al - CONTAINER REFRIG PRESERV TYPE LA13CRATORY ANALYSES <br /> )4 V0 A Y )fG I sa=nUOIA X KTBF <br /> Va A- <br /> y 1-r T —D <br /> COMMENTS. <br /> ln7lYaLtn,+ <br /> i <br />