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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> CII Job#: <br /> Client / Facility <br /> eg- <br /> Address: <br /> Date: Z/Slo / <br /> City: SIQCKTC)N- CA Sampler: f k <br /> Well ID MW_. q Well Condition e <br /> Well Diameter Hydrocarbon �� Amount Bailed <br /> Thickness �' iproductlwater) <br /> Total Depth 5 Volume 2"-0 17 3"=0.38 4" = 0 66 <br /> Factor(VF) 6'= 1.50 12"- 5 80 <br /> Depth to Water L 3���-ft <br /> 31< X VF 0'� =�� 3 (case volume) = Estimated Purge Volume �mau <br /> Purge Disposable Bailer Sampling <br /> Equipment- Bailer Equipment• is osable Ba <br /> St c� Bailer <br /> Sc Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time 17"'01 Weather Conditions — <br /> Sampling Time �'• 3 O Water Color Odor- <br /> Purging Flow hate /_3 Sediment Description <br /> Did well de-water? if yes, Time. Volume: (gal.1 <br /> Time Volume pH Conductmty Temperature D O ORP Mmlunty <br /> (gal) µmhoslan -F (m8/L) (mV) (ppm) <br /> S' � <br /> LABORATORY INFORMATION <br /> SAMPLE ID las)- CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> MW- 3 x 40mN0A Y HCL SEQUOIA TPH-G/BTEX!'MT BE <br /> COMMENTS: <br /> 9197 ridd"e Om <br />