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. WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ U17 vG4 / <br /> Facility . 509E ,lob#: 7-900q6 <br /> Address: 676,06 J''re- Vi r.L.• Date: _2116 <br /> City: S'7Fb �k�d� Sampler: Uak�s <br /> Well ID HW— ty Well Condition: <br /> Well Diameter ? n. Hydrocarbon Amount Balled <br /> Thickness: Ifeetl (productlweted: IGallonsl <br /> Total Depth �'aarr Volume 2"-0 17 3"a 038 4"a 0 66 <br /> �.+ �6 Factor(VF) G— 1.50 12" 5 8o <br /> Depth to Water <br /> X VF ILr - �X 3 (case volume) - Estimated Purge Volume 4 ta! <br /> Purge Disposable Bailer Sampling <br /> Equipment Bailer Equipment: Disposable at <br /> Stack Bar er <br /> Suction Pressure Bailer <br /> rundfos Grab Sample <br /> Other Other- <br /> Starting Time I L ' Z G Weather Conditions <br /> Sampling Time IZ Water Color Ern Odor k--a <br /> Purging Flow Rate I Qpm Sediment Description S-1 _ <br /> Did well de-water? If yes, Time Volume (gal ) <br /> - <br /> Time Volume PH Conductrviry Temperature D O ORP Aikaiuuty <br /> ��o�)U04 � � (mg/L-) (mV} (ppm) <br /> I 7 ± <br /> Z< <br /> 12. <br /> LABORATORY INFORMATION <br /> SAMPLE 1D CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> NW $ 2 g &/0-9 Y iie I SEQUOIA TPHIMAnexh;R" <br /> COMMENTS. <br /> 9197-�WaGl�n <br />