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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility Y -#:: �� Job# z$1�C7 S <br /> 40 Address: _Y3��`-L=q_s� —' � <br /> M n e , Date S Sia <br /> City 2 7 c- Sampler: _(/e4l.4fT9 <br /> Well ID (,sl� S Well Condition 4--),Or-- <br /> Well Diameter in Hydrocarbon Amount Balled <br /> Thickness 16 :: ffeetl {product/waterl: all n <br /> Total Depth sL Volume 2'= 0 17 3" = 038 4" = 0 66 <br /> Factor(VF) 6" = 150 12' = 5 50 <br /> Depth to Water --LS--2q ft <br /> Zb 199 X VF L)-L4-=TI�x 3 (case volume) = Estimated Purge Volume A <br /> Purge Disposable Bailer Sampling <br /> Equipment. EquipmentqDiss�po�sa le BaileSta i <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other. Other <br /> Starting Time 9 Weather Conditions d4 <br /> Sampling Time 9, Water Color _ _ Odor--n.,D _ <br /> Purging Flow Rate U1Zm Sediment Description <br /> Did well de-watery If yes, Time Volume: _ _ _ _ (gal) <br /> Time Volume pH Conductivity Temperature D O ORP Alkal +ity <br /> (g�� umh osJ - .� (m&/I-) (MV) (ppm) <br /> 4- �- <br /> LABORATORY INFORMATION r <br /> SAMPLE 10 (t1) - CONTAINER REFRIG PRESERV TYPE / LABORATORY ANALYSES <br /> 5 y V--.o f} Y ff Ci SEQUOIA TPHIGI/btex/mtbe f)0 ,�' d) <br /> COMMENTS. <br /> srs�ai.w.atren <br />