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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ C K F-V R loo <br /> 0c)llty �C !1- (21-11 Job#: 3 Z-I <br /> Address. 3 11FACk EtC Aft- Date: /0/ it e3i <br /> City STacwro P CA Sampler: - _ <br /> Well ID MZ4., ` Well Condition ck-1 <br /> t <br /> Well Diameter in Hydrocarbon 4 — Amount Balled <br /> Thickness -- -Meet (product/water) (Gallons} <br /> Total Depth Volume 2" = 0 17 3" = 038 4" = 0 66 <br /> �� Factor(VF) 6"= 1 50 12" = 5 80 <br /> Depth to Water 4 h <br /> go?• X VFT X 3 (case volume) = Estimated Purge Volume �" ioal.} <br /> Purge Disposable Bailer Sampling <br /> Equipment Ba Equipment sposabie Bailer <br /> Stack bailer <br /> Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> earting Time 9!�o Weather Conditions <br /> Sampling Time U` "s-t Water Color _ C.( 'eflZr Odor >X?43 <br /> Purging Flow Rate m Sediment Description <br /> Did well de-water? If yes; Time Volume- , {aaQ <br /> Time Volume pH Conductivity Temperature D O ORP Alkalouty <br /> (gal ) wmhos/cmX%0* "F (mg,/L) (mV) (ppm) <br /> 6 8•oZ <br /> � f <br /> ts, 41 gee <br /> �. <br /> LABORATORY INFORMATION <br /> SAMPLE 10 {pl - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> Y.,400.VIAL Y (_L T+Pt�[. l3T M'�'t3E <br /> 06MMENTS <br /> ^9197 MW.t hTn <br />