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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ TQS r-c <br /> Facility-:ft S-V1 Job#: /9"0177 <br /> -- <br /> rAddress: /784 T4s YaSawr,fe A✓Q. • Date: ir1i3/9� <br /> City; M"&c- "k Sampler: <br /> Well ID fI — 3 Well Condition: a4--1 <br /> Well Diameter Z in., Hydrocarbon Amount Balled <br /> Thickness- fe (product/water)' all ns <br /> Total Depth 6' n Volume 2'= 0 17 3" = 0 38 4" = 0 66 <br /> Depth to Water �� fr. <br /> Factor(VF) 6"= 150 12" =5 80 <br /> l3 ` <br /> 12 61 X VF Q �� L'� X 3 (case volume) = Estimated Purge Volume -6143 {aal.1 <br /> Purge Disposable Bader Sampling <br /> Equipment: Bailer Equipment: isposa le Bal r <br /> Stack Bader <br /> tic t Pressure Bader <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time 9 :-/ l Weather Conditions <br />. Sampling Time !D :0 Water Color _ r Odor trio <br /> Purging Flow Rate /_ Qom. Sediment Description rcko <br /> Did well de-water7 Wo if yes, Time Volume (aal k <br /> 'rune Volume PH Conductivity Temperature D O ORP Alkaluuty <br /> (gal) K hoslcm)(1G0 of (mg/L) (mV) (PPM) <br /> Z 2- 3- 2� 33.E <br /> -� 1_ 3 �,...- <br /> LABORATORY INFORMATION <br /> SAMPLE IQ {!11 - CONTAINER REFRIG PRESERV TYPE / LABORATORY ANALYSES <br /> �1 a- 3 3 ✓a A Y HCI SEQUOIA TPH(G)/btex/mtbe <br /> to Z vv <br /> COMMENTS: <br /> srs7-e.w.ann. <br />