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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ Un OC4 <br /> Facility 0 2 g� .,,,. Job#: 2 DO s <br /> laddress: !�� 5" Aata " & _ Date: 1 z&Zjj' <br /> City: cS'Tt�c�� ? Sampler: tfa A,,64 S <br /> Well ID MGJ— Well Condition: dot.. <br /> Well Diameter In. Hydrocarbon Amount Bailed <br /> Thickness' fee {prgductlwater)' 1lnns <br /> Total Depth SS 3 ft. Volume 2"= 0 17 3'=038 4" =066 <br /> ,- Factor(VF) 6"- 1.50 12"= S 80 <br /> Depth to Water Z 3 6Q ft <br /> 9,6"7 X VF : =5d X 3 {case vglumel Estimated Purge Volume r al <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: ispos bie Bail <br /> Stack Baler <br /> Suction Pressure Bader <br /> run o Grab Sample <br /> Cher Other <br /> 40S taming Time fl 3 a Weather Conditions 616,11, _ <br /> Sampling Time 11 Water Calor �i— Odor 9347 <br /> Purging Flow Rate LA_- aom• Sediment Description <br /> Did well de•water7 ttrd If yes, Time Volume (gal) <br /> Time Volume PH Conductivity Temperature DO ORP Alkalirucy <br /> 33 s) q 3 �g90 X100 9 6 L (m�) (n►V) (Ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE !D (0) - CONTAINER REFR1G PRESERV TYPE LABORATORY ANALYSES <br /> PLA/ 3 1/0.9 Y MCI SEQUOIA TPH(GVbtexlmtbe <br /> 7z60(6 <br /> • COMMENTS: <br /> strs�.nneurm <br />