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WELL MONITORING/SAMPLING <br />' FIELD DATA SHEET <br /> Client/ rJ„ Z) c� f <br /> FaCIRY�S©y'g Jab#: ov <br /> Address: " 4 Lf= 4x Date: 6fi:719 <br /> , ,,, <br /> Ity: �� _ Sampler: k <br /> Well ID mw— /q Well Condition a A- <br /> Well Diameter tn. Hydrocarbon Amount Balled <br /> Thickness jLe_qjj (product/water) (Gallons) <br /> Total Depth r'9'Z-0 Volume 2" =0 17 3" = 0 38 4' = 066 <br /> Depth to Water <br /> 33 -7- Factor (VF) 6" = 150 12' = 5 80 <br /> > <br /> -q X VF �;,1� = ��TQC 3 [case volume) = Estimated Purge Volume IdL <br /> rPurge Disposable Bailer Sampling <br /> Equipment, Bailer Equipmentis osable Bad <br /> Stack Bader <br /> Suction Pressure Bailer <br /> run Grab Sample <br /> Other Other <br /> Staring Time _ VL) I T� Weather Conditions - <br /> Sampling Time lb 4 S Water Color Odor <br /> Purging Flow Rate _ ctrl Sediment Description <br /> Did well de-water? y�C. If yes, Time Volume fqal i <br /> Time Volume PH Conducuviry Temperature D O ORP Al3kaluury <br /> 1d r ($a} ) 6 osJana(/OQ •F (mg(l) (mom (Ppm) <br /> Y <br /> LABORATORY INFORMATION <br /> SAMPLE iD {r1 - CONTAINER REFRIG PRES€RV TYPE i' LABORATORY ANALYSES <br /> tv - I 2 f�� y 14G 1 SEQUOIA TPH(G)lbtexl s <br /> -� COMMENTS <br /> 9197 MWat.�+ <br /> t <br />