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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ G/n '� � <br /> Facility It Job#: <br /> �+ 6 <br /> Address: _5E0� ���rs�1s��'✓`�-'– — Date: <br /> City: _ — Sampler: <br /> Well 10 MW— ,� Well Condition: CD — <br /> Well Diameter rn. Hydrocarbon Amount Bailed <br /> Th:Ckness' (feetl Wroduct/waterl. anon <br /> Total _Depth Ste' * <br /> volume 2"=Q 17 •7 3 =038 4' s 0 65 <br /> Factor(VF) 6"- I30 - 12'= 5 80 <br /> Depth to Water 3 �'� � n• <br /> I -D X VF 1+=Z'31 X 3 (case volume) = Estimated Purge Volume <br /> Purge Disposable Bader Sampling <br /> Equipment Bailer Equipment: Disposable Bane <br /> Stack Bai er <br /> Suction Pressure Bailer <br /> r'un dfos Grab Sample <br /> Other Other. - <br /> Starting Time Weather Conditions <br /> Sampling Tame Z - Water Color 'x"11 Odor rkc. <br /> Purging Flow Rate 1 aam Sediment Description <br /> Did well de-watery YLV9 if yes, Time Volumefoal ) <br /> Time_ Volume pH Conductrnty Temperature D O ORP Alkalmuty <br /> c7 � �� �� ,� y� �6� ZF� 1 --(mg/L-)- - _(m�T��(PP <br /> m <br /> LABORATORY INFORMATION <br /> SAMPLE 10 CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> Y G SEQUOIA TPH(G)Ibtexl4!&i[ <br /> COMMENTS- <br /> srrai.riae.�r�n <br />