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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client) tJ„ J <=� <br /> Facility -�g Job#: Z'vu Y6 <br /> Address: S"Z0 f-!i-1 �3`c. r .�• Date: <br />?City: ,S,' ,J(�, � Sampler: ✓ <br /> Well 10 H W ' /y Well Condition. ©/i. <br /> Well Diameter Hydrocarbon Amount Bailed <br /> Thickness �CP fee U (product/water). (Gallons) <br /> Total Deptt, ` '� <br /> Volume 2"=0 17 3`=038 4" — 0 66 <br /> Depth to Water <br /> 3 �� Factor(VF) 6" = 1.50 12-= 5 80 <br /> 1 $ <br /> l (2X VF 4•1 �4 X 3(case volume) = Es-timated Purge Volume 1,3al <br /> Purge Disposable Bader Sampling <br /> Equipment. Bailer Equipment: ^is osable Bail <br /> Stack Bader <br /> I Suction Pressure Bailer <br /> run o Grab Sample <br /> Other Other <br /> Starting Time f L �'� Weather Conditions _ /-I,, n <br /> Sampling Time -2 Water Color )lit Odor Y-tf:? <br /> Purging Flow Rate 1. ' aon_ Sediment Description <br /> Did well de-water? r—e If yes, Time Volume I-al <br /> Time Volume pH Conducuvuy Temperature DO ORP Alkaluury <br /> (gga ) ymhos/an)(/00 •F (mgfL) (mv) (PP-) <br /> 1 <br /> LABORATORY INFORMATION <br /> SAMPLE 10 CONTAINER REFRIG PRESERV TYPE / LABORATORY ANALYSES <br /> - 16 fats Y tic SEQUOIA TPH(G)lbtex/ewe <br /> r+w. 10 - act v <br /> COMMENTS <br /> 9197-11e1da[.hrn <br />