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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility Job# Z9O (12, <br /> -�_ <br /> ,Address: �e ems'_ 4-,k, Date- S al <br /> City: s kei�5-s-I ['4-• - Sampler. --- <br /> Well ID Well Condition <br /> Well Diameter Z .r, Hydrocarbon Amount Balled f <br /> Thickness 4teetl (product/water)' 73Ilons <br /> Total Depth 1 LUa it Volume 2"m 0 17 3" = 038 4"=0 66 <br /> Factor(VF) 6" = 1 50 12" = 5 SO <br /> Depth to Water it <br /> X VFC7./ =�Y9X 3 (case volume) = Esumated Purge Volume _faal 1 <br /> Purge Disposable Bailer Sampling <br /> Equipment. Bailer Equipment. Disposable Bailer <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grab Sam <br /> ndfo le <br /> Other Other 1>c� <br /> Starting Time f 4, Weather Conditions AA <br /> Sampling Time 1�, Water Color C1 Odor EXI) <br /> Purging Flow Rate _ anm• Sediment Description <br /> Did well de-water? If yes, Time- Volume toil <br /> Time Volume PH Conductivity Temperature D O ORP Alkahruty <br /> 1 <br /> u� (mF�) (mom (PP-) <br /> u,S )�- ��TrZa5- <br /> q: <br /> - <br /> q' 5E -- ---3 - � 6al <br /> 6 <br /> ('5'164 s-t� 6 ,0-5— 61 <br /> LABORATORY INFORMATION <br /> SAMPLE ID 1#)- CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> U— y V4 A Y 11 C/ ( SEQUOIA TPHIG1lbtexlmtbe <br /> 4 <br /> COMMENTS. •, <br /> i <br /> sr 4WA1.cr�a <br />