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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client / Faci ty Job#: <br /> Address: Date: 3 bz .?7 <br /> City: Sampler: <br /> Wel! lD - Well Condition <br /> Well Diameter 9 in- Hydrocarbon Amount Bailed <br /> Thickness (product/water) <br /> Total Depth S3'9z Volume 2" =0 17 3" = 039 4"=0 66 <br /> Z 3,/ Factor(VF) 6"= 1.50 12" =5 90 <br /> Depth to Water <br /> X VF _�� X 3 icase volurr O = Estimated Purge volurrse <br /> Purge Disposable Bailer Sampling <br /> Equipment Bailer Equipment s usable Ba r <br /> Stack Bader <br /> � Pressure Bailer <br /> Grundfos Grab Sample <br /> 10 Other Other <br /> Starting Time v / f Weather Conditions 44 A <br /> Sampling Time ��- 3y Water Calor _ Odor,-r!ff) <br /> Purging Flow Rate � Sediment Description. <br /> Did well de-water? 1� If yes; Time Volume <br /> Tune Volume pH Conductsvity Tempera r D O ORP Alkalituty <br /> (gal) )amh0s/csnyj0tf (mg(L) (mv) (Ppm) <br /> s 6 :7 r <br /> -ag <br /> l <br /> LABORATORY INFORMATION <br /> SAMPLE 10 (9)- CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> MW. x 40MIVOA Y HCL SEQUOIA TPH-GI8TEX18W0v-1 * <br /> COMMENTS: <br />