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V <br /> WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility Job#: 1 7 <br /> Address: .1 710o L Y0 get", 1, 14 v — Date: 2-- <br /> City: 1NI u A Sampler: 30 e- <br /> Well ID amu'` Well Condition Q - t- - <br /> Well Diameter Z ,n. Hydrocarbon Amount Balled <br /> Thickness fee (product/water) C7- igaLons <br /> Total Depth 7 vu -ft. Volume 2"= 0 17 3"= 038 4"= 0 66 <br /> Factor(VF) 6" = 150 12" = 5 80 <br /> Depth to Water l 4 3�' _- <br /> II i <br /> X VF d 17 = Z-4 X 3 (case volume) = Estimated Purge Volume G 5 foal.) <br /> Purge Disposable Bailer Sampling _ <br /> Equipment Bailer Equipment:— Disposable Bailer--' <br /> Stack ailer <br /> (-Stiction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br />. Starting Time K #0 Weather Conditions ` I <br /> Sampling Time j� e'�(A ,^ Water Color ! Odor in <br /> Purging Flow Rate 1 Qom, Sediment Description - <br /> Did well de-water? If yes, Time Volume- ai <br /> Tune Volume pH Conductnnty (JA_)Tcmperature D O ORP Alkaluuty <br /> (gal) µrnhos/cm )1 •F (mgX) (mV) (Ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE ID !bl - CONTAINER REFRIG PRESERV TYPE .� LABORATORY ANALYSES <br /> f 7j.� d Y }[[L SEQUOIA TPH(G)/btex/mtbe <br /> 4 X -s <br /> COMMENTS: <br /> SA7 4410 lrm <br />