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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ U.17� N.a- � <br /> Facility# zS Job# ZStCS <br /> • Address: _ /�tG S` �cLc ►•dC�G s . Date: Z oo <br /> City e�47 .► Sample. t�cl ifLu_ <br /> Well ID Well Condition. 8k. <br /> Weil Diameter .n Hydrocarbon Amount Bailed <br /> Thickness C�p _!feet} (product/water): (Gallons) <br /> Total Depth _ 3- ft Volumc 2"=0 17 3"=0.38 4" = 0 66 <br /> Depth to Water ft <br /> Factor(%F) 6"= 1.50 12-= 5 80 <br /> _ ��. �� <br /> X VF _� X 3 (case volume) = Estimated Purge Volume X, f go <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: isposa _a Baileile r <br /> <:222� Sailer <br /> Suction Pressure Bader <br /> Grun os Grab Sample <br /> Other Other: <br /> Starting Time `I Weather Conditions <br /> • Sampling Time lrb:o 3 Water Color _ e/ 4c- Odor ria <br /> Purging Flow Rate. f.< Qom. Sediment Description. <br /> Did well de-water? K4 If yes, Time Volume: ,.. _(ga(gal ) <br /> Time Volumc pH Conductmty Temperature D.O ORP Alkahnity <br /> ( a) 1rmhosksn?CJt 6 °F (mom.) (mV) (PPM), <br /> qg _ l 3. 3 6Q-Z� <br /> 13. 71 <br /> LABORATORY INFORMATION <br /> SAMPLE ID (4)- CONTAINER REFRIG PRESERV 'TYPE LABORATORY ANALYSES <br /> Nvj— 3 ✓Q;Q Y f c I SEQUOIA TPH(G)lbtex/mtbe <br /> ulw_ 2 ATS -.- Mit i> <br /> COMMENTS. <br /> er9741e1cl.c Iffn <br />