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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility U17 &4I -���" Jab# Sp[7 <br /> w <br /> Address: _+''+Qs / �_r'- Date: <br /> City- 'S kq'i ae Sampler: <br /> Well ID Well Condition <br /> Well Diameter ,n Hydrocarbon Amount Bailed <br /> Thickness -0C.> (feetj iproductlwater)- ailons <br /> Total Depth — ft Volume 2"=_0 I7 3"= 038 4" = p 66 <br /> Factor(VF) - » 6"= 150 „ 12" = 5 SO <br /> Depth to Water _ZS. "j f, <br /> � X VF L7•f X 3 (case volume) = Estimated Purge Volume al <br /> Purge Disposable Bailer Sampling <br /> Equipment Bailer r Equipment. usable Ba r <br /> Stac Bailer <br /> uctlon Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other: <br /> Starting Time Z Weather Conditions I '00 <br /> __Sampling Time 1 ` 'f�� Water Color Odor -• <br /> Purging Flow Rate _ /. aom. Sediment Description a -` <br /> Did well de-water? rtA If yes, Time- Volume <br />_r F -Tsme ��Volume pH Conductivity Temperature D O_ ORP Alkaluuty <br /> ( � ) mhos/ F (ppm)— <br /> (mg/L) (mV} <br /> o� ---- = ----�=�c-=- ----- ---- -- - -- - - - -- <br /> - LABORATORY INFORMATION r <br /> SAMPLE 10 Afl - CONTAINER REFRIG PRESERV TYPE i LABORATORY ANALYSES - <br /> w Y V'6 A Y �} G I SEQUOIA TPH(G)/btexlmtbe+4LS'>0 yrs 6? a <br /> r <br /> , <br /> COMMENTS. _ ^ <br /> is <br /> 9f97�tfim <br />