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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ U117 �. � <br /> Facility# ZS 99 Job# 7-3W 5-je - <br /> • Address: Ira ra S Ra-e-,.Z lc_ A4L, __ Date: Z11-T 0 C-) <br /> City —S740+ Sampler: <br /> Well ID Well Condition 5,0t <br /> Well Diameter _ In Hydrocarbon Amount Bailed <br /> Thickness _� Ifeetf {product/waierl (Gallons) <br /> Total Depth _ s7� 1tL Volume 2'= 0 17 3"=0 38 4' = 0 66 <br /> Factor(VF) 6"= 150 12" =5 SO <br /> Depth to Water 23. 57 ft <br /> 50 D X VF 4041- X 3 (case volume) = Estimated Purge Volume Iga1 <br /> Purge Disposable Bailer Sampling <br /> Equipment Bailer Equipment. isposab a Basle—rte <br /> Bailer <br /> uctio Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: Other. <br /> • Starting Time- _ i Z Weather Conditions. _ <br /> Sampling Time __ 4 2 Z� Water Color eAr'c f Odor ._. 11n{] <br /> Purging Flow Rate. _ f nom. Sediment Description. <br /> Did well de-water? _ 1v6 If yes; Time Volume- I <br /> Time Volume pH Conductnnty Temperature D-O. ORP Alkahnity <br /> �._? vmh s` rifto F (mvv (mV) (ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE ID V)- CONTAINER REFRIG PRESERV TYPE j LABORATORY ANALYSES <br /> Hlrf— 3 1/019 Y HG' SEQUOIA TPH(G)/btex/mtbe <br /> Z n xlv� /iso if M <br /> �.l rn ) Iran . <br /> COMMENTS <br /> 9197-fiel6aLfrm <br />