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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility r ,d l 1 c�/ _ Job##- _Zff`Plf-%5r--F <br /> Address: _5f3 � s �� /�� _ Date: `— <br /> City: Sampler. 1 _ _ <br /> Well ID Well Condition <br /> Well Diameter 'n Hydrocarbon Amount Bailed <br /> r Thickness c:�P— `Meet] (product/wafer) (Gallons <br /> Total Depth / •l tr <br /> Volume 2"= 0 17 3' = 0 38 4" = 0 66 <br /> Factor(VF) 6'= 150 12" = S 80 <br /> Depth to Water _ Z 1''+!--±L-- — __ _ <br /> P� SI X VF X 3 (case volume) = Estimated Purge Volume ��• oal <br /> Purge Disposable Bailer Samphng <br /> Equipment Bailer Equipment. Ispos ble Ba er <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other1 ... Other <br /> Starting Time Weather Conditions <br /> Sampling Time 1-f r5'-61111710f� Water Color C'/eQ„✓„ Odor ri-V <br /> Purging Flow Rate a L :5-- oflm. Sediment Description <br /> Did well de-watery If yes, Time- Volume. +gal 1 <br /> Time Volume pH Conducuvtty Temperature D O ORP Alkahrury <br /> y- I 3c'r'Xs”' 1$" .o (m$&) (mom (ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE ID (X)- CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> Y rTG SEQUOIA TPHIGIIbtex/mtbe <br /> -S �2Ee <br /> COMMENTS <br /> 8197-IieLdst/rM <br />