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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility !tae&- Job# Sgioo qs <br /> Address: Date- <br /> City- s h)e' - - Sampler: <br /> Well ID 13 Well Condition ox- <br /> Well <br /> xWeil Diameter in Hydrocarbon Amount Balled <br /> s Thickness CJ .c7� 14eet1 {product/water): allons <br /> Total Depth T`re;>ic> fi Volumc 2"= 0 17 3" = 038 4" = 0 66 <br /> Factor(VF) 6" = 1 50 12" = 5 SO <br /> Depth to Water ZZ, .��f, <br /> `If �--X VF X 3 (case volume) = Estimated Purge Volume Z- Z:)(ga( ) <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Dispos ble Bail <br /> Stack Bal er <br /> Suction Pressure Bailer <br /> run Grab Sample <br /> Other: Other <br /> Starting Time $, Weather Conditions ' <br /> OSampltng Time 1 s Water Color _ elee,,, Odor. <br /> Purging Flow Rate Z-_ gom. Sediment Description <br /> Did well de-water? wO If yes, Time- Volume <br /> Time Volume pH Conductivity Temperature DO ORP ALkahruty <br /> (gal) r pm osjcm -F ; (mg/L) (mV) (ppm) <br /> LABORATORY INFORMATION r <br /> SAMPLE 10 1#1- CONTAINER REFRIG PRESERV TYPE / LABORATORY ANALYSES ' <br /> U-13 i y V-6 A" Y SEOUOIA TPHIGI/btex/mtbe O <br /> COMMENTS <br /> s <br /> 9/974W4UL*M <br />