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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ foSZ0 <br /> Facility ##- o t Job#- <br /> Address- tb ^/$alg3 <br /> Date: <br /> `-fes d� ---�- <br /> City• 1.14 acc) to Sampler: L/ • <br /> Well ID 1441,4-- - - Well Condition - d _ <br /> Well Diameter Z in. Hydrocarbon Amount Bailed <br /> Thickness. fe (productlwater) <br /> Total Depth Volume 2" = 0 17 3"= 038 4"= 0 66 <br /> Factor(VF) 6"= 150 12" =5 80 <br /> Depth to Water 9•1g ft, <br /> I X VF 154 =3'� X 3 (case volume) - Estimated Purge Volume <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Disposable Baile <br /> Stack _ _ Bal <br /> c i Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time _ lD: 3 - Weather Conditions �i� ✓ __ <br /> Sampling Time la. Water Color Odor ^4 <br /> Purging Flow Rate Sediment Description: <br /> Did well de-water? ,ham — If yes, Time Volume. faaLi <br /> Time Volume pH Conductivity Temperature D O ORP Allcalimty <br /> �. Iumhoa/ (m8/L) (mV) (ppm) <br /> •, 3�8 6 2 6-D , //S"; . <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#} - CONTAINER REFRIG PRESERV TYPE r' LABORATORY ANALYSES <br /> Laf_ 3 va Y SEQUOIA TPH(G)fbtex/mtbe <br /> COMMENTS: <br /> 9/87-flalAaLhm <br />