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im-6ETTLER - RY-A w- IN c. <br /> WELL MONITORING/SAMPLING , <br /> FIELD DATA SHEET <br /> Client/Facility# f:nnnr"nPhi�lit+� inti 9n�► Inh Ni imhor 1 R[14 R3 <br /> Site Address 16470 Cambridge Street Event Date Cf XrA6 (Inclusive) <br /> City Lathrop, CA__� �_" _ Sampler SI.-t t�tiP,�v <br /> Well ID MW- Date Monitored L//#15'16 Well Condition 16 <br /> Well Diameter 2 in <br /> Volume 314'=0 02 1'=004 2"=0 17 3"=0 38 <br /> Total Depth ;L q. SX ft Factor(VF) 4"=0 66 5"= 102 6"= 1 50 12"= 5 80 <br /> Depth to Water (} .-�] ft_ � �� <br /> xvF = �• x3(case volume)=Estimated Purge Volume ----'�—gal <br /> Time Started (2400 <br /> Purge Equipment Sampling Equipment Time Sailed 0 hrs) <br /> Disposable Bailer }� - Disposable Bailer Depth to Product ft <br /> Stainless Steel Bailer Pressure Bader Depth to Water <br /> Stack Pump Discrete Bailer Hydrocarbon Thickn ft <br /> Suction Pump Other Visual Confirma escnption <br /> Grundfos Skimmer bsorbant Sock(circle one) <br /> Other Amt RPftved from Skimmer gal <br /> Amt Removed from Well gal <br /> Product Transferred to <br /> rt Time (purge) b l.r� Weather Conditions [1.,g • <br /> Sample Time/Date 1 0 '3 y �S 67 Water Color ar..r i Odor <br /> 'urging Flow Rate --- gpm Sediment Description ea-+r <br /> Did well de-water? /t�V if yes, Time Volume gal <br /> Time VolumeConductivity Temperature D O ORP <br /> (2400 hr) (gal) pH (umhoslcm) ($/F) (mgll) (mV) <br /> 16 X3 3' 4 cf 3- ZO 77fig• <br /> 0 X7 3K 0 �.Y�- 107 q• a, <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#)CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> MW- x voa vial YES HCL STL Pleasanton TPH-GIBTEXIMTBE/B Oxys(8260) <br /> COMMENTS <br /> Add/Replaced Lock Add/Replaced Plug '>i- Size �.. 1 <br />