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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> i <br /> Client 1 Facility tinnnall Former Unamfl 12852 Job#: <br /> Address: Date: <br /> City; Sampler: f ka- <br /> Well 1D Well Condition k <br /> Well Diameter 9 Hydrocarbon Amount Bailed <br /> Thickness �"���- (product/water).Total Depth y�' `� Volume 2" 0 17 3" = 038 4"m 0 d6 <br /> Factor(VF) 6"= 1.50 12"= S 80 <br /> Depth to Water Z 3•v ft. <br /> 7-6. )4 X VF ='r'� X 3 {case volume} = Estimated Purge Volume �3' f�al_1 <br /> Purge Disposable Bailer Sampling _ <br /> Equipment Badiser Equipment osable Ba <br /> Stack Bailer <br /> uct3otti Pressure Bailer <br /> Grundfos Grab Sample <br /> • Other Other <br /> Starting Time !O . S Weather Conditions r . <br /> Sampling Time 11, l g Water Color- Odor <br /> Purging Flow Rate t, s' GPM Sediment Description <br /> Did well de-water? 0.0 If yes; Time Volume for,-) <br /> Time Volume PH Conducimty Temperature DO ORP AAcaUnity <br /> (8�) pmhos/cm -F (m$/l-) (MV) (PPM) <br /> i 9-5, 6y. S- <br /> � - q-' <br /> LABORATORY INFORMATION <br /> SAMPLE ID (f)- CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> =PAWx 40mNOA Y HCL SEQUOIA TPH-G/BTEXt MT BF— <br /> • <br /> COMMENTS: <br /> l/97.n.ie.e� <br />