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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ Un -0c.4 / <br /> Facility �L 509E Job#: <br /> Address: Eo 6 G� � c �-• Date: <br /> City: S' c� Sampler: <br /> Well ID MW, 2 Well Condition.Well Diameter m. Hydrocarbon Amount Bailed <br /> • Thickness: (toll (product/wated: g2anonsl <br /> Total Depth Volume 2'-0.17 3'=038 h'=0 66 <br /> Depth to Water <br /> 0• ft. Factor(VF) 6'= 1-50 12'=5 80 <br /> _ <br /> Z X VF C)•11+=�3�X 3 (case volume) = Estimated Purge Volume /310 al l <br /> Purge Disposable Bailer Sampling <br /> Equipment Bailer Equipment: Disposable Baffle <br /> Stack Bai er <br /> Suction Pressure Bader <br /> rundfos Grab Sample <br /> Other Other <br /> Starting Time t G Weather Conditions <br />. Sampling Time T `f _ Water Color Odor -c r <br /> Purging Flow Rate _ 1 S aDm Sediment Description <br /> Did well de-water? 01-:2 If yes, Time Volume { aI <br /> Time Volume pH ConduCuvxty Temperature DO ORP Al)caluury <br /> y 1 X10Q 6 ' _ (m> ) (mom (ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE ID M - CONTAINER REFRIG PRESERV TYPE r LABORATORY ANALYSES <br /> }-1LJ X7.1 l] 2 ✓O�} Y SEQUOIA TPH(G)1btex/4e <br /> COMMENTS: <br /> 9r97-rawnufrm <br />