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tY <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ Tv } x 3 <br /> . Facilityv 'S e Job#: - ` <br /> Address: <br /> �,�� Ci4M i}7(s� STie � 7- Date: <br /> „f ' <br /> City C ° 7 Sampler- �STC+�'_ q +L;41✓ <br /> Well ID <br /> Well Condition. °I+tF I�CA�[• r S laJ��- <br /> �„ Hydrocarbon Amount Balled <br /> Well Diameter i Ilan <br /> Thickness- ifewr (aroducv-=er) <br /> Total Depth p a O fTVolume 2' = 0 17 3- = 038 <br /> Paccar(VF) <br /> C" = 150 12' — S 80 <br /> Depth to Water d .��—� <br /> X VF O i� -i `)X 3 lease voiumel a Estimated Purge Volume, 7 r I <br /> Purge Disposable Sailer Sampling <br /> Equipment. Sailer Equipment: is osa e S lie• <br /> Stack Sailer - <br /> ion Pressure Sailer <br /> Grao Sample <br /> 17un os Otner <br /> Other- <br /> . Starting Time 1 S Weather Concitions C-t to ' <br /> Sampling Time <br /> Water Color- C� Odor* <br /> �.'� - S�-' ` <br /> pigging tiow mate _� aom• Sediment Description <br /> If es, Time _ Volume ` l ' <br /> Dic well de-watery � Y <br /> H Conduerivtty Temper � nry <br /> ature D D ORP Alkn <br /> Tunc Volume p <br /> asran •F (mg/L) (mv) (PPM) <br /> �cmis <br /> LABORATORY INFORMATION <br /> SAMPLC 10 ill - CONTAINER RErA1G PREScRV TYP_e LABORATORY ANALYSES � <br /> w I s r��i' Y I I SEQUOIA IT PHIG)ltrtex/rntbe S-axy r <br /> I I I I I gat <br /> � I I <br /> M IV <br /> CCMMENTS v"r' sr4t C� <br /> 9197 4WROM irtn <br />