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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client) D 17 <br /> 4Vacility - s-fl ? Job#: <br /> Address: 1 00 i✓- Date: <br /> s v <br /> a ' Sampler: � e- <br /> City: <br /> Well ID Well Condition: <br /> 2 <br /> Well Diameter .,nHydrocarbon Amount Bailed <br /> _ ,may <br /> Thickness: _ f7 feet (product/water): [GaElans <br /> Total Depth —ft' Volume 2' = 0 I7 3" - 038 4 = 0 66 <br /> Factor(VF) <br /> b"= 1 SO 12" =5 80 <br /> Depth to Water �4' <br /> r r' 3 7 X VF a7 [7 =_2.01X 3 (case volume) = Estimated Purge Volume [aaI I <br /> Purge Disposable Bader Sampling _ --- - <br /> Equ3pment• Bailer Equipment• Disposable er/ <br /> Stack5ec �aiter' <br /> l cn Pressure Bader <br /> ndfos Grab Sample <br /> Other Other <br /> 0 Starting Time <br /> 4,4.c Weather Conditions <br /> Sampling Time <br /> 3Sh Water Color ( Odor 4 <br /> Purging Flaw Rate <br /> r aom Sediment Description --t A <br /> Did well de-water <br /> If yes; Time. Voiume• (Gall <br /> Volume PH Conductivity I--Tempetyran= D O. ORP Aakalim <br /> Time 2i) µmhaskan OF (mg/L) (mV) (Ppm) <br /> _ ?` <br /> LABORATORY INFORMATION <br /> SAMPLE ID Iia• CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> v1.tw �jv„6 Y }{C L SEQUOIA TPH(G)/btexlmtbe <br /> COMMENTS: <br />