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WELL MONITORING/SAMPLING <br /> L' <br /> FIELD DATA SHEET <br /> Client! U/7J �- ' Y <br /> Facility# z$ .fob#. C0 - - , <br /> st <br /> Address: ISE /���� `�'�-� - Date: Z LOQ <br /> City. _ ..5 Sampler: ✓eke t ,• _ <br /> Well ID Well Condition epi <br /> Well DiameterZ .n Hydrocarbon Amount Bailed <br /> Thickness ep _jfeell (product/water} Galion-sl <br /> Total Depth S 6 'Volume 2"= 0 17 3" =0 38 4" = 0 66 <br /> Z V� � � I Factor(VF) _ 6"= 1 50 - 12- =580 , <br /> Depth to Water µ `- <br /> X VF !Z d-) X 3 Icase volume) = Estimated Purge Volume S. al <br /> Purge Disposable Bader Sampling <br /> Equipment. Bader Equipment: lsposab a Baile— <br /> Bailer <br /> ucti Pressure Bader <br /> Grund'fos Grab Sample <br /> Other. Other. <br /> Starting Time w Weather Conditions ►� <br /> Sampling Time Water Color_ e_�c.✓ -_ __ Odor _ IP,-c9 _ • <br /> Purging Flow Rate I uom. Sediment Description: <br /> Did well de-water? - = If yes,- Time. _ Volume. l <br /> Time Volume PH Conductmty Temperature D O. ORP Alkalmity <br /> al) usnho-dcm)(/06 dF (mV) (ppm)(mg/f-) <br /> z - -� <br /> LABORATORY INFORMATION <br /> SAMPLE ID i ) - CONTAINER REFRIG. PRESERV TYPE LABORATORY -ANALYSES <br /> mij j &R Y 'Wr Il SEQUOIA TPH(G)lbtex/mtbe <br /> .4 -z il� �lvx- wa417e( M n Q_ <br /> u{,!�� Z � � it'd 0✓�t .541 �t-ra if-� n . <br /> COMMENTS <br /> • <br /> 9/9741Wdiot trm <br />