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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ J g� Jab# Z rC641 <br /> Facility <br /> y E?aL&c.e� ,,,D ate <br /> Address: <br /> '1� '"► - ��� — Sampler- <br /> City_ _ <br /> Well ED <br /> (,��Lo Well Condition- <br /> Well Diameter in Hydrocarbon Amount Bailed <br /> Thickness B' � feet (product/water) Il ns <br /> Total Depth r , aoh Volume 2" = 0 17 3' = 0 38 4" =0 66 <br /> Z <br /> Depth to Water `eft Factor(VF) 6"-= 150 - 12" = 5 50 - - <br /> Tr X VFQ—, _9 X 3 (case volume) = Estimated Purge Voturne <br /> Purge Disposable Bailer Sampling <br /> Equipment. Bailer Equipment: s osa le Basler <br /> Stack Bailer <br /> S ion Pressure Bader <br /> rund Grab Sample <br /> Other- Other <br /> Starting Time Weather Conditions e� <br /> - Sampling Time is <br /> Water Color` _ __ __ Odor <br /> Purging Flow Rate m Sediment Description <br /> Volume <br /> Did <br /> I <br /> Did well de-water? If yes; Time- <br /> Time Volume— pH Conductivity Temperature— Y DO -- - ORI' - Alkahrnty - <br /> - µmhos/cxn-��--- "F — <br /> _ 1 (� _� 6 <br /> �,3 _ 2, � G <br /> LABORATORY INFORMATION <br /> SAMPLE 10 {711 - CONTAINER RFRIG PRESERV TYPE i LABORATORY ANALYSES <br /> 1= <br /> U Z SY v,0 Y H G( SEQUOIA TPH(G)1btex1mtbe�S <br /> S <br /> COMMENTS. <br /> gan41okkL em <br />