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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility# Jab#: <br /> OAddress: to 1�.,�' �F . Date: -5 / 31.6 - <br /> �M <br /> City: Sampler: v7' <br /> Well ID m LIJ — j Well Condition: Qb=;:; <br /> Well Diameter Hydrocarbon Amount Bailed <br /> .�� <br /> Thickness- 0 . � fe (product/water): <br /> Total Depth n <br /> Volume 2°-0,17 30 0.38 4'- 0 fib <br /> Depth to Water _ Ly n. Factor(VF) 6'- 1.50 12'm S go <br /> X VF _ �� 3 lcese volume) - Eatimeted Purge Volurne: Inal_1 <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: ose le Bell <br /> Stack gaiter <br /> suft-� - Pressure Bailer <br /> 9;w-M � Grab Sample <br /> other: Other: <br /> f ----- <br /> torting Time: l a Weather Conditions: <br /> : �Z�� /3 <br /> Sampling Time <br /> az-) Water Calor: Odor—�_1 <br /> Purging Flow Rate: �.d— nnm. Sediment Description: <br /> Did well de-water? If yes; Time: Volume: <br /> Time Volume pH Conducdnty Temperature D.O. ORF <br /> (gal.) }` cn► (r (MV)(rny) A1kt linitY <br /> r 13 .� S (PPM) <br /> 266 <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#j. CONTAINER REFRIG PRESERV. TYPE - LABORATORY ANALYSES - <br /> m X VOA VIAL Y HCL SEQUOIA TPH1G)/btex/mtbe.{ 7- <br /> OMMENTS: <br /> 9407410e t tan <br />