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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> CIient/ f g 3- Job# <br /> Facility <br /> Address: Q � <br /> �4-t7� 1~ /7--leD ate <br /> City S Sampler V <br /> Well ID �/ Well Condition V <br /> Well Diameter _2, ,n HydrocarbonAmount Bailed <br /> Thickness ! eex) Iproductlwaterl G Ilons <br /> Total Depth r` ba tt Volume 2' =0 17 - 3" = 03 8 4" = 0 66 <br /> ��g ft Factor(VF) 6" = 1 50 - 12" = 5 80 <br /> Depth to Water �g <br /> %9 -)4 <br /> X VF �' =o!"L X 3 (case volume) = Estimated Purge Volume Z a4 <br /> Purge Disposable Bailer Sampling <br /> Equipment Bailer Equipment. C, isposable Bailer <br /> Stack <br /> SuctionPressure Bailer <br /> undfo Grab Sample <br /> Other Other <br /> _Starting Time + Q Weather Conditions <br /> T Sampling Time �— - �' - - Water Color - - - Odor- - - - <br /> Purging Flow Rate m Sediment Description <br /> Did well de-water? If yes, Time Volume ictal 1 <br /> Time Volume - - pH Conductivity TTemperature ' Do ORP A1kaltzuty ^ <br /> 463 18T;- <br /> 67ici -0-1 <br /> - - <br /> LABORATORY INFORMATION <br /> SAMPLE ID 111) - CONTAINER REFRIG PRESERV TYPE / LABORATORY ANALYSES <br /> I� y V4 f} Y SEQUOIA TPH(G)/btex/mtbe S` ' <br /> w <br /> COMMENTS. , <br /> �ar.ie.t,mn <br />