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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Tosc:� <br /> Client/- _ -_ _- - _ - -__ _ _ -_ - <br /> Facility� Job#:_ <br /> Address: . /l a.rc.4 Lxxpu4 • Date: g�3�rs� 1<`- c3�o • <br /> City: Sampler: <br /> Well 1D Hu'? S Well Condition: <br /> Well Diameter =_, Z fin. Hydrocarbon e;p Amount Bailed <br /> Thickness. `� f 1productfwater)' <br /> Total Depth 1 S.a o Vp� r¢0.17 3"—ass 4"=0.66 <br /> _ _- _ _-= F�CLO[ ) ___-- =6`ss 1.50 - - Ir=5.80- -- - <br />� Depth to Water • Z� <br /> X VF `3 Z X 3(case volume) n Esbfnated Purge Wb me: ,ys,�[aai.! <br /> Purge Disposable Bader Sampling <br /> Equipment'. Bailer Equipment: Disposable Bailer <br /> Stack Bailer <br /> ctlon pressure Bailer <br /> Grundfos Grab Sample <br /> Other. Other: <br /> Starting Time: to , Weather Conditions, <br /> Sampling rime: Water Color Odor: <br /> Purging Flow Rate: Sediment Description: <br /> Did well de-water? If yes; Time. Volume: Teal l <br /> Time Volume PH Conducd%&y Tempemuut D O. ORP AlImUnity <br /> � �mh cm �• (m&it-) (MV) (PPM) <br /> �� _ <br /> LABORATORY INFORMATION f <br /> SAMPLE ID t/i- CONTAINER REFRIG. PRESERV.TYPE ! LABORATORY ANALYSES <br /> m w,$S y V4 it Y tj C, SEQUOIA TPH(G)AAWdmtbs <br /> COMMENTS: <br />