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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client! rl� Z c`e <br /> l=ac(lity- S,,gB _ Job#: Z900 <br /> Address: Date: e- I <br /> lty: � ,fc, Sampler: J <br /> 1 Well ID H W— 13 Well Condition d X- <br /> Well Diameter _ 2 in. Hydrocarbon Amount Balled ` <br /> Thickness- _ Ifeet) (productlwaterl- d) [Gallons) <br /> Total Depth r� Volumc 2"=0.17 3'=038 4' = 0 66 <br /> Factor(VF) 6"= 1-50 12'= 5 80 <br /> Depth to Water <br /> �rO <br /> 3q 6 r X VF _ 4 X 3 (case volume) = Estimated Purge Volume <br /> Purge Disposable Bailer Sampling <br /> Equipment. Bailer Equipmentfis osaole Bailer= <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> rundfos Grab Sample <br /> Other Other <br /> Starting Time 1 O Z Weather Conditions d <br /> Sampling Time j 1 Water Color Odor pt-U <br /> J <br /> Purging Flow Rate (' gQm Sediment Description <br /> Did well de-water? 1 if yes, Time Volume (Cal <br /> Time Volume pH Conductwiry Temperature D O ORP AL aluuty <br /> (g& prnhoZ?U00 (mom) (mom (PP-) <br /> -4 -5-4 1 a r <br /> -4 -Z -q- Z' G <br /> 1 <br /> LABORATORY INFORMATION <br /> 1 SAMPLE ID (0) - CONTAINER REFRiG FRESERV TYPE LABORATORY ANALYSES <br /> t,j , j,3 2 19 Vo;4 Y r G 4 SEQUOIA TPH(G)lbtex/rte <br /> COMMENTS <br /> 9197 lWidCL" <br /> t <br />