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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility - I a���" _ Job# <br /> . Address: .3 a �` /-t e e,r ��tt. Date C/S' 4 <br /> City Sc- Sampler. _ <br /> Well ID U— Well Condition Cox- <br /> Well Diameter ,n Hydrocarbon Amount Bailed <br /> Thickness CJ ova feet (product/watery allons <br /> Total Depth <br /> EFwm <br /> me 2"= 0 17 3" = 0 38 4"= 0 <br /> Depth to Water 66 <br /> ` (VF) 6" = 150 12" = 5 50 <br /> �- �T rT <br /> Z I• X VF 4 X 3 (case volume) = Estimated Purge Volume <br /> Purge Disposable Sailer Sampling ~� <br /> Equipment. Bailer Equipment: s osabie Baii r <br /> t c Bailer <br /> action Pressure Bailer <br /> Grundfos Grab Sample <br /> Other- Other <br /> i <br /> Starting Time —LD. 3�_ Weather Conditions lak_ <br /> Sampling Time "-,g-- $ Water Color zo' Odor: -ri- .) <br /> Purging Flow Rate I r Sqm- Sediment Description <br /> Did well de-watery fid If yes. Time- Volume f9al <br /> Time Volume pH Conductivity Temperature D O ORP Alkalin,t3r <br /> 6-2 -41 <br /> , S . <br /> J <br /> /V : Y--) f o S v 6 <br /> LABORATORY INFORMATION <br /> SAMPLE 10 CONTAINER REFRIG PRESERV TYPE i LABORATORY ANALYSES <br /> N— Y X13 Y J-} G I SEQUOIA TPH{GI/btex/mttie 0'q Yij��Z�SaJ <br /> COMMENTS <br /> �r-nra.c.>r.n <br />