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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ .� <br /> Facility �I' tJ..nZa//Tl�r�+8� Uryca Job#: L�oo�s S <br /> Address: ��f.t ntr _ Date: <br /> B3Iob � Y I � .b <br /> City: s1�'{z7n L Sampler: �/ G <br /> , <br /> - Well ID _ NA-1-r- Eat Well Condition:, 1-3 <br /> Well Diameter in., Hydrocarbon Amount Bailed <br /> Thickness: lfeetl (groductlwater): jQg1jonsl <br /> Total Depth Zrr Volume 2"-0 17 3"= 038 - 4"=066 - <br /> Factor(VF) 1 6"= 1.50 12" =5 80 <br /> Depth to Water ZY'`t� ti <br /> OIL X VF 40 02 =1'0 X 3(case volume) = Estimated Purge Volume 14?" 0 (gal.) <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: <br /> ' Stack Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other- Other- <br /> Starting Time. __ --- Weather Conditions: Ct-Y d4L&" —— 0 <br /> Sampling Time- `�� S� Water Color: E/¢, Odor. <br /> Purging Flow Rate: 7-2 aom, Sediment Description: <br /> Did well de-water? If yes; Time. Volume- , raal.l <br /> _ T'umeVolurrte—___-._pH - Conductivity-_ Te perawre _D_O _ _ ORP Alkalinity --�- - <br /> r µrash m Y • � (ml;�) --. _(m� --(F�) <br /> 16 SV 10. <br /> LABORATORY INFORMATION T <br /> SAMPLE ID 40)- CONTAINER R£FRIG PRESERV TYPE / LABORATORY ANALYSES <br /> '*f Y N G SEQUOIA PH(G)fbteWmtbe <br /> 6) !x t$�6 � <br /> ' i <br /> COMMENTS: <br /> _ 818 -�ldaamm <br />