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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility # 5 fl 7 Job#: 1 ? <br /> . <br /> Address: 1704%/.e 0 o t: • Y� s P�r l a Date: 21 <br /> Z 2- <br /> City: —)M of A Sampler: .30 L <br /> Well ID mow`— 7 Well Condition: <br /> Well Diameter 2 ,n Hydrocarbon ,may Amount Bailed <br /> Thickness t7 {feet) (producilwaterl ailans <br /> Total Depth _ ft. Volume 2' = a 17 3" = 038 4" = 0 66 <br /> Depth to Water �¢� r; 3 Factor(VF) b"= 1 50 12" =5 80 <br /> f[, <br /> l r r 3 7 X VF = 2,t IX 3 (case volume) = Estimated Purge Volume gall <br /> Purge Disposable Bailer Sampling <br /> Equipment Bailer Equipment-,'-- <br /> quipment- Disposable Ba_eF/ <br /> Stack �at re r--- <br /> 5dcrRyn Pressure Bailer <br /> bfundfos Grab Sample <br /> Other Other <br /> Starting Time _ -�[:�.� Weather Conditions Q <br /> Sampling Time `t ? Water Color C(���,� Odor <br /> Purging Flow Rate Sediment Description A <br /> Did well de-water? If yes, Time. Volume. i <br /> Time Volume pH Conductivity 1 J-C}Tcrriperatvre D O ORP Alkalinity <br /> (Sal) µmhos/cm 7` OF (mg/L) (mv) (PPM) <br /> �L 2 — _ _ _:3 , 7-L _� ? <br /> 77 <br /> LABORATORY INFORMATION <br /> SAMPLE ID (0) - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> VK uv — �j�v 4 Y }(C L SEQUOIA TPH(G)lbtex/mtbe <br /> el 19 260 O x - s +e <br />. COMMENTS: ., <br /> �7,��Lirr1� <br /> 1 , <br />