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WELL MONITORING/SAMPLING <br /> l_ FIELD DATA SHEET <br /> Client/ 12-.Vr O r) S-L4,5Facility4 L4 a-7 Job#: <br /> _� 121G <br /> Address:v� O L�}• 4x1r11CL j+ Date: <br /> City: DC_te +-0 n C Sampler: - <br /> Well ID Well Condition: <br /> Well Diameter in., Hydrocarbon Amount Baile <br /> Thickness: (productMater): <br /> Total Depth 'LA Volume 2'— 0.17 3" — 0.38 40-0.66 <br /> Factor(VF) 6'- 1 SO 12" a 5.80 <br /> Depth to Water <br /> X VF- g X 3 (case volume) Estimated Purge.Volume: <br /> - <br /> Purge Disposable Bailer Sampling-- <br /> Equipment: Bailer Equipment: is osabie Bailer <br /> =Sucdon — <br /> PressureBailer <br /> Grab Sample <br /> Other: _ Other: <br /> Starting Time: z t Weather Conditions: <br /> _Sampling_Time: �=i-( Water Color". Odor: G <br /> Purging Flow Rate: aom. Sediment Description: <br /> Did well de-water? if yes; Time: Volume: <br /> luau <br /> Time VolumepH Conductivity Temperature D.O. ORP A11u nity <br /> ctn OF, (mg/L) (MV) (PPM) <br /> ti <br /> LABORATORY INFORMATION <br /> SAMPLE ID CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> Mw` VOAV I AL Y SEQUOIA TPH(G)/btex/mtbe <br /> COMMENTS: <br />