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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ Joh# <br /> Facility <br /> Address- cIf rC- L`e- _ Date <br /> City 5"'0C t-rcV) Sampler <br /> Well ID _ � Well Condition <br /> Well Diameter , in. Hydrocarbon Amount Bailed <br /> G ( Thickness (feet] (productlwater) (Gallons) <br /> Total Depth Volume 2" m 0 17 3"=038 4" = 0 66 <br /> Factor(VF) 6'= 150 12"= 5 80 <br /> Depth to Water ft. <br /> X Vd? 0 _ "! X 3 (case volume) = Estimated Purge Volume (gal 1 <br /> Purge Disposable Bailer Sampling <br /> Equipment Bailer Equipment isposable Bailer <br /> Stack <br /> ctlon Pressure Bailer <br /> s Grab Sample <br /> Other Other <br /> Starting Time Z Weather Conditions C' . <br /> Sampling Time I Water Color Odor <br /> Purging Flow Rate �1 aom, Sediment Description <br /> Did well de-water? If yes, Time Volume (gal ! <br /> Time Volume pH Conductivity Temper ture D O ORP A1kahruty <br /> rh(0 (gal Z —J4 �� µ l � G (m8/Y) (m _ (ppm) <br /> 4C <br /> a YG ZZ <br /> LABORATORY INFORMATION <br /> SAMPLE 10 (7fI - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> I �/c/i Y SEQUOIA TPH(C)lbtexlmtbe <br /> COMMENTS <br /> 9197 ftk%Lhm <br />