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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client! <br /> Facility Jab#: m` <br /> Address: Date: I S <br /> City- Sf ci� ''� _ Sampler: <br /> Well ID Well Condition. <br /> Well Diameter in. Hydrocarbon Amount Bailed <br /> Thickness _(feet! (product/water) (_Gallons) <br /> Total Depth -t Volume 2"= 0 17 3" = 038 4"= 0 66 <br /> Depth to Water ft. <br /> Factor(VF) 6" = 1 50 12" = 5 80 <br /> �• � <br /> X VF = X 3 (case volume) = Estimated purge Volume _ (gal 1 <br /> Purge Disposable Bailer Sampling <br /> Equipment Bailer Equipment Disposable Bailer <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time Weather Conditions <br /> Sampling Time Water Color Odor <br /> Purging Flow Rate aom Sediment Description <br /> Did well de-water? If yes, Time Volume I <br /> Time Volume pH Conductivity Temperature D O ORP Alkaluuty <br /> (Sal ) j4mhos/cm)fI06 "F (mg(L) (mV) (Ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE ID I!1} - CONTAINER REFRIG PRESERV TYPE , . LABORATORY ANALYSES <br /> Y HCI SEQUOIA TPHIG)/btex/mtbe <br /> COMMENTS. -UEofaF MA jN tic-f--L9fmaa0 <br /> 9191 n.wat trm <br /> I <br />