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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ U.170 e-4- f <br /> Facility# ZS .fob## -- 7- 60 <br /> Address- / Sr �- <br /> �. Date: Iooc) <br /> City- -S7Jehn Sampler- S _ <br /> Well ID Well Condition 8ot <br /> Well Diameter Z In Hydrocarbon �r� Amount Bailed <br /> `-T <br /> j Thickness {LeeG lion3 <br /> Total Depth 7 Volume 2'=0 17 3" =038 4" = 0 66 <br /> Depth to Water Z <br /> 3, Factor(VF) 6"= 150 12"= 5 80 <br /> 0rX VF = X 3 {case volume} -- Estimated Purge Volume <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: isposa a Bale !—e <br /> Bailer <br /> o i Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other- <br /> . Starting Time /Z ; Weather Conditions- <br /> Sampling Time S Water Color a1E_*..r– Odor P-W <br /> Purging Flow Rate Sediment Description <br /> Did well de-water? 1v0 If yes, Time Volume Inal ] <br /> Time Volume PH Conductimty Temperature D.O ORP Alkaluuty <br /> . 41 (yal j .(p r — goX�1000 - �F� (mg�'L} (n+V) (Ppm) <br /> _ + R y IS•lam <br /> q0 _ ►s. �� � _ -moo <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#] - CONTAINER REFRIG PRESERV TYPE / LABORATORY ANALYSES <br /> Hw- 1 3 /0� Y µGt SEQUOIA TPH(G)/btex/mtbe <br /> 1JtW� L VO s9D n/'� '� iSta/✓e d 1`� $ne <br /> COMMENTS- <br /> 9197-fieldat try" <br />