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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ r Job#: <br /> Facll(ty� 1$ <br /> Address. �5 <br /> • - P,Ve Date: <br /> City: <br /> Sampler. ' t� <br /> Well 1D <br /> C Z Well Condition. D <br /> Hydrocarbon Amount Bailed .. <br /> Well Diameter f t (product/water}' IGallonsl <br /> T� Thickness <br /> Total Depth • 1 2' =0 17 3" =0.38 4" =0 b6 <br /> Volume 12" = 5 SQ <br /> f factor(VF) 6' = 1.50 <br /> Depth to Water <br /> q �O 6.� i <br /> [�- p X VF ./ =_Z.r x 3 (case volume} Estimated Purge Volume <br /> Purge <s osable Baile Sampling <br /> Equipment: osable <br /> Equipment: Bader Bailer <br /> Stack Pressure Bader <br /> Suction Grab Sample <br /> Grundfos Other: <br /> Other <br /> Starting Time: Weather Conditions-Water Color. Odor. <br /> Sampling Time <br /> Purging Flow Rate r Sediment Description, <br /> Did well de-water? <br /> If yes; Time. Volume. <br /> Temperature D O ORP Alkalinity <br /> Tune Volume PH Condu o/cm 5CM ,PF (mSIL) (MV) (PPM) <br /> d" <br /> LABORATORY INFORMATION ANALYSES <br /> SAMPLE ID itr} - CONTAINER REFRIG PRESERV.TYPE ' ' LABORATORY <br /> C_ Z 3x voAv I AL Y HCL SEQUOIA TPH(G)/btex/rntbe <br /> COMMENTS <br />