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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Job#: �3 <br /> Address: �= '� L' ��-n^�� �� S Date: z`I a 'L_. <br /> City: 2 < 10 Sampler- <br /> Well 1D Well Condition <br /> Well Diameter _ _ in, Hydrocarbon Amount Bailed <br /> Thickness 5- 47C> Heet1 iproduct/water): IVon <br /> Total Depth Z3.� � rt• --- <br /> Volume 2' = 0 17 3"= 0 38 4'= 0 66 <br /> Depth to Water _ l3. 3 !31 <br /> Factor(VF) 6"= 1.50 12"- 5 80 <br /> lU X VF Q 3 (case volume) = Estimated Purge Volume: (981.1 <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: kQisposoble Bailer <br /> Stack Bas e <br /> uctl Pressure Bailer <br /> Grundfos - Grab Sample <br /> Other. Other: <br /> Wierting Time" / S L Weather Conditions _ d <br /> Sampling Time. _ /S q-o Water Color, Odor: <br /> Purging Flow Rate: _ / onm. Sediment Description: V7t <br /> Did well de-water? r f va If yes; Time: Volume: <br /> Time Volume PH Conductivity Temperature D O ORP AlkalWi y <br /> Vmb s/ �"F j (mg/L) (mv) (PPM) <br /> �— <br /> 'y- 3-o --L <br /> 131 __ '? ,�� - ��'� �• � <br /> LABORATORY INFORMATION <br /> SAMPLE Ii) CONTAINER REFRIG PRESERV. "TYPE LABORATORY ANALYSES <br /> X VOA VIAL Y HCL SEQUOIA TPH(G)/btex/mtbe-3- c 'S <br /> �OMMENTS <br /> 9r974WRdat frm <br />