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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility . st 17 Job#: a l ? <br /> Address: 170o Y,9 Sex", 1, 4vf. Date: Z_ 2Z-- <br /> J1 I <br /> City: a Sampler: <br /> Well ID i^'lW` I Well Condition: <br /> Well Diameter in. Hydrocarbon Amount Sailed <br /> Thickness' Let (product/water) C7' Gal! ns <br /> Total Depth '" 7 R_ Volume 2"= 0 17 3"= 0 38 4"= 0 66 <br /> � Factor(VF) 5"= ISO 12" = 5 80 <br /> Depth t0 Water k• <br /> X VF d f 7 = 2.1g X 3 (case volume) = Estimated Purge Volume G 5 laai ) <br /> Purge Disposable Sailer Sampling _ <br /> Equipment Bailer Equipments Disposable-Bait ' <br /> Stack ailer <br /> ,Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time y 4d _ Weather Conditions <br /> Sampling Time to C, �(A Water Color C(e" Odor Gue <br /> Purging Flow Rate corn, Sediment Description A R <br /> Did well de-water? If yes, Time Volume. foal i <br /> Time Volume pH Conductnnty Temperature D O ORP Alkaluuty <br /> (gal pmhosJcm )< "F (mg/L) (mV) (Ppm) <br /> 3o 7,5 r <br /> -7 Ali <br /> LABORATORY INFORMATION <br /> SAMPLE ID {#} - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> + siva Y KCL. SEQUOIA TPH(G)/btex/rntbe <br /> !� 2 T2-6o 10A- - S ra <br /> COMMENTS: <br />