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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ UnDCa <br /> Facility 2 g Job#: Z 6O S <br /> Address: / S G ' Date: Z 8 <br /> City: sk,=, ? Sampler. &S <br /> Well ID 114 td— t Well Condition: d'7t- <br /> Well Diameter Z orf. Hydrocarbon Amount Bailed <br /> Thickness dR fee (product/water) allons <br /> Total Depth '6`� Volume 2"= 0 17 3"=0 38 4" = 0 66 <br /> Depth to Water <br /> Z 33 i <br /> Factor 6"= 150 12' = 5 80 <br /> Z 7Z X VF Q X 3(case volumel = Estimated Purge Volumef Z (_q�—Ij <br /> Purge Disposable Bailer Sampling <br /> Equipment- Bailer Equipment: sposole Bai <br /> Stack �ai <br /> Suction Pressure Bailer <br /> runnoo Grab Sample <br /> th0 er Other <br /> iStarting Time Weather Conditions <br /> Sampling Time Water Color _ Odor . m,-D _ <br /> Purging Flow Rate gorn Sediment Description <br /> Did well de-water' If yes, Time Volume al <br /> Time Volume pH Conductivity Temperature D O ORP Alkaluuty <br /> �a (921) µmhos/cm pp OF (mg/L) (mV) (Ppm) <br /> z• _ r 3 _ _�• �� 6 <br /> LABORATORY INFORMATION <br /> SAMPLE 10 (#1 - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> 3 `/019 YG, SEQUOIA TPH(G)lbtexlmtbe <br /> c r Z K <br /> COMMENTS: <br />