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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Tient! <br /> Facility;!! 01 - L4 Job#: <br /> Address:vZ <br /> City: <br /> OC- *or) [ ' Sampler: <br /> Well ID <br /> 3 Well Condition: V- <br /> Hydrocarbon Amount Bailed <br /> Well Diameter Wroduct/weterl: Cr <br /> Thickness' <br /> Total Depth ��•s Z Vohffi1e 2"an 0 17 3"—0.38 4" 0.66 <br /> Factor(VF) 6"= ISO 12" � 5.80 <br /> Depth to Water O.43 <br /> ����� Volume: S•81 <br /> .0 X VF =Ls+� X 3 (case volumel = List}mated Purge �L! <br /> Purge Disposable Balser Sampling <br /> Equipment: (Disposable Bailer <br /> Equipment: Bailer Bailer <br /> (Stack) Pressure Bailer <br /> Suction Grab Semple <br /> Grundfos Other: <br /> Other: <br /> Weather Conditions: C L 0 to <br /> Starting Time: 1 <br /> Sampling Time: = <br /> Water Color: dr LEA a Odor: ND <br /> Purging Flow Rate: •b Sediment Description: <br /> if yes: Time: Volume: <br /> Did well de-water? 1J <br /> Conductivity(, TCM�� D.O. ORP AlkaKWty <br /> T� IOD <br /> Volumt pH .F (MAP (mV) (PPM) <br /> (P _ ---�— ----� <br /> aD Z4.0 321 <br /> r 1. o u 3b.o Wiz. <br /> LABORATORY INFORMATION <br /> SAMPLE ID lis - coNTAINER REFRIG. PRESERV.TYPE <br /> LABORATORY ANALYSES <br /> Mw- 3 3— voAvlA� <br /> Y SEQUOIA TPH(GI1ttex1mtbe <br /> COMMENTS: <br /> WV141raw•r,m <br />