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1 <br /> WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ un vc.cz <br /> Facility Job#: Z 0.60 (c <br /> Address: 5 6o E f' f�L�^ ✓z• Date: <br /> City: cjk*r n Sampler: <br /> Well ID l Iw— Well Condition: <br /> Well Diameter Z- .n. Hydrocarbon Amount Bailed <br /> Thickness: Cp Ifeetl (product/water): (Galtons) <br /> Total Depth 's Volume 2"-0.17 3"- 038 4" - 0 66 <br /> 3 .�; Factor(VF) 6"= 1.50 1Y=5 80 <br /> Depth to Water n• <br /> 33 q5 X vr. _ �:'+TX 3 (case volume) = E=mated Purge Volume 11"3 Iaa! ) <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Disposable Baile <br /> Stack Bai er <br /> Suction Pressure Bailer <br /> rundfos Grab Sample <br /> Other Other* <br /> Starting Time S� S� Weather Conditions de-�_ _ <br /> Sampling Time Water Color Odor <br /> Purging Flow Rate I aom_ Sediment Description <br /> Did well de-watery h-C If yes, Time Volume (gal <br /> Time Volume pH Conductmry Temperature D O ORP Alkaluuty <br /> ( ) Kmhos/crnXj0,0 'F (Mg/1-) (mV) (Ppm) <br /> —:sem/ s �L3--0.!t <br /> 4 S� 1 '� 82 '57-7-j — <br /> s,o 'T, 1 g <br /> LABORATORY INFORMATION <br /> SAMPLE 10 CCNTAINEFt REFRIG. DRESE4`: TYPE LABORATORY ANALYSES <br /> HW Z ti/Q1� Y G SEQUOIA TPH(G)/btex/moi! <br /> COMMENTS: <br />