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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ CV-�e'vr O n <br /> Facility Job#: <br /> Address:- <br /> lo(p 3 3- -o�.G- - Date• '?�c� <br /> - j <br /> City: � � Sampler: <br /> Well ID Well Condition: <br /> Well-Diameter a - Hydrocarbon �, Amount Bailed <br /> Thickness• (product/watsri: <br /> Total Depth volume Z" Q 0 ly 30- 0.38 4" -O fib <br /> Factor(VF) 5"m 1.50 12" — 584 <br /> Depth to Water 3 z' <br /> ,InA"" XVFb� o 7-L\ X 3 /case volume) = Estimated Purge Volume. Z toal.l <br /> � <br /> Purge Disposable Bailer Sampling <br /> Equipment: Be <br /> Equipment: &SgMd& Beller <br /> ack � Ba <br /> alc:kPressure Bailer <br /> n Grab Sample <br /> Grund <br /> Other: <br /> _ Other- <br /> Starting Time: g., 7-� Weather Conditions: <br /> Sampling Time: 3 b Water Color: , I roe Odor U.Q <br /> Purging Plow Rate: — -- - _$ediment Description:- <br /> Did well de-water?- - U If yes; Time: _ _ Volume: <br /> Time volume pH Conductivity Temperature _ D.O. ORP Alkalinity <br /> .p (rng/I•} (mV) (Ppm) <br /> 14 <br /> .rte^ <br /> LABORATORY INFORMATION <br /> SAMPLE 10 j#)- CONTAINEP - REPAID. PIiESERV.TYPE LABORATORY ANALYSES <br /> Y SEQUOIA TPH(Qilbtexinfte <br /> MW- VOAV I ALHCI <br /> COMMENTS: �` <br /> sa?.n.mN.t„n <br />