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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility .]a1J#_ 2,710[7 <br /> *Address: _�'3 � C f- bA'A--U_(7Axk • Date _ 1� <br /> City. Sampler <br /> Well ID Well Condition <br /> Well Diameter Z in Hydrocarbon Amount Balled <br /> Thickness 4::::). 67--;� feet (product/water) jaallonsl <br /> Total Depth r c O n Volume 2"= 0 17 3" = 0 38 4" =0 66 <br /> Z.d Factor(VF) 6" = 150 12" = 5 80 <br /> Depth to Water ft <br /> � <br /> 9+ ( X VF 6#1-t— ILA LA 3 icase volume) = Estimated Purge Volume <br /> Purge Disposable Bailer Sampling <br /> Equipment Bailer Equipment: Disposable Bailer <br /> Stack Bailer <br /> Suctiop—, Pressure Bailer <br /> run s Grab Sample <br /> Other Other <br /> Starting Time �ac> Weather Conditions <br /> Sampling Time 57 Water Color dP� _ Odor <br /> Purging Flow Rate m Sediment Description <br /> Did well de-water? If yes, Time Volume. Taal I <br /> Time Volume PH Conductivtry Temperature D O ORI' Alkalmzty <br /> LABORATORY INFORMATION <br /> SAMPLE ID CONTAINER REFRIG PRESERV TYPE i' LABORATORY ANALYSES r <br /> (� J 4- S y V Q Pr Y }f �i SEQUOIA TPHiC,Ilbtex/mLbe I",J b r <br /> COMMENTS. <br /> h <br /> 9/974WkWt.hm <br />