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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility _ UnC2C-4 4- - ,fob##: _Z9400 �S <br /> Address: `�� L�Qs I�t'r�er'. I Date: S 1 Sr • <br /> City: S C° Sampler-. n <br /> Well ID Well Condition jr-- <br /> Well Diameter +n Hydrocarbon Amount Bailed <br /> Thickness 6 -OC _ st (product/water} G II ns <br /> Total Depth �� tL Volume 2" =0 17 3" = 038 4" 0 66 <br /> -1 - FacLor(VF) - - 2 6" = 150 - -,�12" 5 80 - <br /> Depth to Water Z b �-t� rt <br /> f p •� X VF X 3 (case volume) = Esicmated Purge Volume <br /> Purge Disposable Bailer , Sampling <br /> Equipment. Bailer Equipment: Dispasabl B er <br /> Stack <br /> Suction Pressure Bailer <br /> Gr n o Grab Sample <br /> they- Other_ <br /> Starting Time _ „ /�,`/ Weather,-Conditions <br /> Sampling Time - _ 1 `�� - t - .-Water Color dor. <br /> Purging Flow Rate _ _ 7 oom• Sediment Description <br /> Did well de-water? rLD If yes, Time: Volume [aal I <br /> - Time Volume pH Conductnnty Temperature D O ^ORIs��� A3lcahnit}y — <br /> I ) umhoskm •F (mg/L) (-V) (ppm) <br /> LABORATORY INFORMATION r <br /> SAMPLE 10 {711 - CONTAINER - REFRIG PRESERV TYPE LABORATORY- ANALYSES _ <br /> U-20 Y 1J Y y G SEQUOIA TFHiG) tex/mthe a s � <br /> COMMENTS , <br /> t <br /> • <br />