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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ %o-S c v <br /> Facility #- 0/2-0 s (C/Rc/_E_-_1 Job#. —LTJ t� <br /> Address: _/_ G V 7o ST"- _ Date: ZD &-- <br /> 22 _ <br /> City- _ �t7 rc� p Sampler: t1� <br /> Well ID tjw— 3 Well Condition- o A, <br /> WellDiameter Z in. Hydrocarbon Amount Bailed <br /> Thickness, Ifosil (product/water): mallo") <br /> Total Depth 2-6-Oo n• Volume 2'=0 17 3•=038 C=0 66 <br /> Depth to Water <br /> Factor(VF) 6"= 150 12'=5 80 <br /> 11 . �I ft. <br /> X VF 64 X 3 (case volume) = Estimated Purge Volume. IaaIJ <br /> Purge Disposable Bailer Sampling -- <br /> Equipment: Bailer Equipment: isposable Bade <br /> Stack Baiter <br /> Sectio Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other. <br /> Starting Time Weather Conditions <br /> Sampling Time 11.E / ca Water Color _ .41131� Odor <br /> Purging Flow Rate. f aom. Sediment Description "f <br /> Did well de-water? 1 if yes; Time Volume. <br /> Time Volume pH Crmductniity Temperature D O. ORP Alksihmty <br /> a Z Z." b unl/oqcm F--+T3 T> (m$/L) (MV) (ppm) <br /> 69S <br /> LABORATORY INFORMATION <br /> SAMPLE 10 1#)- CONTAINER REFRIG PRESERV TYPE / LABORATORY ANALYSES <br /> MSy V-0 A Y 11 G j SEQUOIA TPHIG)/btex/mtbe f SaX 1($T,5 A, <br /> COMMENTS: <br /> Is <br /> >ilrsi-fi@kbK.+m <br />