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' WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client / Facili inral #Qla7 Job#: 9R 4s.Rs <br /> Address: 417 FastI1dwer Ameat,IE___._•--. Date: <br />' City: Sampler: <br /> Well ID Well Condition _ !�nfll <br />' Well Diameter 2 in Hydrocarbon Amount Bailed <br /> Thickness r) <br /> (product/wate • <br /> Total Depth <br /> Volurm 2"=0 17 3"=038 4" 0 66 <br /> Depth to Water n Factor(VF) 6"= 150 12"-5 80 <br /> a X VF 92J--- = T' X 3 (case volume) = Estimated Purge Volume q`zr <br /> Purge Disposable Bailer Sampling - ---N <br />' Equipment Bader Equipment osable <br /> Stack Bader <br /> Suction Pressure Bailer <br /> Grab Sample <br /> Other Other <br />' Starting Time ---1: -1- Weather Conditions- <br /> Sampling Time Z to Water Calor: fit^ Odor <br /> Purging Flow Rate. - „_..L._�apaL Sediment Description. <br />' Did well de-water? If yes, Time Volume. <br /> Time Volume pH Conductivity Temperature D O ORP Aftr"ty <br /> pr hos/an'f/vv (mg/L) (mv) (PPM) <br /> — 34 1 . 5- <br /> • � <br /> r a • 73 9 , s z.13 <br /> LABORATORY INFORMATION <br /> SAMPLE ID 0)- CONTAINER REFRIG. PRESERV TYPE LABORATORY ANALYSES <br />' 8 Z x 40mNOA Y HCL SEQUOIA TPH-G/BTEX14xj&v-4HW0 <br /> de CA Iq <br /> CATS: ' C faf77`C 00 3 <br />' I 1 11 L Ple.y4e e, H. ,al <br />