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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Clientl <br /> Facility _11n )e-,a 0 Job#. y <br /> Address- L/32 ISL � T e • __ Date ���"�y/ <br /> City- <br /> SamplerJtL <br /> Well ID Well Condition 4 <br /> Well Diameter Z in Hydrocarbon Amount Balled <br /> Thickness 4P feet (producUwater) Gallons <br /> Total Depth 3-t• 6a ft Volume 2"= 0 17 3" = 0 38 4' =0 66 <br /> Factor(VF) 6" = 1 50 12' = 5 SO <br /> Depth to Water Z-�•�"�` it <br /> 79-3 X VF D �� =1.33 X 3 (case volume) = Estimated Purge Volume al <br /> Purge isposable Bailer Sampling <br /> Equipment Bal er Equipment. <biio sable Bail r <br /> Bailer <br /> Suction Pressure Bailer <br /> Grund'fos Grab Sample <br /> Other Other <br /> Starting Time Cl '9-5- Weather Conditions �-�� ► <br /> Sampling Time 10- 1 (o Water Color Gi-eOdor <br /> Purging Flow Rate /- 5 o0rn. Sediment Description <br /> Did well de-water? A10 If yes, Time- Volume !sal I <br /> Time Volume PH Conductivity Temperature D O ORI.' Alkahnity <br /> {gal ) µmhos/a)rC� F (mg/L) (-V) (Ppm) <br /> 5 •�� s _ 3 z4P y <br /> io o3 3,n a3 <br /> /b•o� �,a �L y• zZ <br /> LABORATORY INFORMATION ` <br /> SAMPLE ID {#] - CONTAINER REFRIG PRESERV TYPE i LABORATORY ANALYSES ' <br /> c <br /> U- 1 X V-0 Y y G SEQUOIA TPH{Gl/btex/mtbe <br /> COMMENTS. <br /> 9M74%kLnLkm <br />