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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client! Che-vr o r1 3 Er L, R L45 � <br /> Facility4 L4 Job#: <br /> Address:vZ O 0- '5­1101601Cl 047Date: <br /> C'rtY= C.�oC_tr) C- Sampler: ��� T• <br /> Well ID (0 Well Condition: <br /> Well Diameter Hydrocarbon Amount Bailed -� <br /> Thickness' i roduct/wated: <br /> fGallons- <br /> Total Depth •4IL volume 2'- 017 3'- 038 4'= 0.6 <br /> Factor(VF) 60- 1.50 12' - 5.$0 <br /> Depth to Water - '9 <br /> t -1 _S17 X VF 1-7 =13 X 3 (case volumel = Estimated Purge Volume: !, ' <br />..._.._..Purge�DisposabWl3aiier Sampling-- <br /> Equipment: Bailer Equipment: C DlsposableBaller) <br /> Stack, Y--- ----- Bailer-- - -- —-- —----- r <br /> Pressure Baiter <br /> Suction <br /> SuctioGrab Sample <br /> Grundfos <br /> Other: <br /> Other: _ <br /> Starting Time: Weather Conditions: _ sLA - -- <br /> Sampling Time: =5 Water Color: C_Z-1-`t f Odor: __SLI4 ' <br /> Purging Flow Rate: L-S Sediment Description: <br /> Did well de-water? 0 If yes; Time: — Volume: leal.l <br /> Time volume pH Conductfvlty Temperaum qua D.O. ORP Alkalinity <br /> D d (m <br /> (MY) (PPM) <br /> 6_ 4 1 <br /> LABORATORY INFORMATION <br /> SAMPLE ID 1#1- CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> MW- -- VOAV I AL Y SEQUOIA TPHIGI/btaximtbe <br /> COMMENTS: <br /> aW4rdSUM <br />