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WELL MONITORING/SAMPLING ,- <br /> FIELD DATA SHEET <br /> Client/ � <br /> 4VCIlItyf--Pj-z0-g-- 1G1Retz g) Job#: <br /> Address: 1070 CeLjubrel Date: � <br /> City- 6,at __ Sampler: Sys <br /> Well lD Mt{!, 3 Well Condition: 4, <br /> Well Diameter in. Hydrocarbon Amount Bailed <br /> Thickness fee (product/water) 1 n <br /> Total Depth -��•d� ft. Volume 2"= 0 17 3" = 0 38 4" =0 66 <br /> Depth to Water <br /> q } Factor(VF) 6"= 150 I2" 5 80 <br /> X VF 2- Z4�X 3 (case volume) - Estimated Purge Volume <br /> Purge Disposable Bailer Sampling <br /> Equipment- Bailer Equipment: is osa �Ieer <br /> Stack Bailer <br /> Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other. <br /> �tarting Time Z Weather Conditions <br /> Sampling Time Water Color n Odor <br /> Purging Flow Rate Sediment Description <br /> Did well de-water? rtO — If yes, Time Volume <br /> Time Volume pH Conductivity Temperature D O ORP Alkalnuty <br /> ,unihis/ -F � ('ng/L) (mom (ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE ID CONTAINER REFRIG PRESERV TYPE % LABORATORY ANALYSES <br /> toY tic I SEQUOIA TPH(G)/btex/mtbe <br /> COMMENTS: <br /> f <br /> 9197-Reldat fYm <br />