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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility /� CC�RGL-E Job#. /to/d3 <br /> Address, <br /> /l�af�-O Gc��y ��'�• Date; _�a Iz/ 49 <br /> City. affi�a„i Sampler: ys -Well ID MW -3 Well Condition - 6 k- <br /> Well Diameter _ in, Hydrocarbon Amount Bailed <br /> Thickness. if e (produotmater) allon <br /> Total Depth 16. 00 f Volume 2"= 0 17 3" =0 38 4' = D 66 <br /> - Factor(VF) 6" = 1.50 12'= 5 80 <br /> Depth to Water <br /> � I-Z12 X VF Q•f� = Z•�r X 3 (case volume) = Estimated Purge Volume 'L 3 aI <br /> Purge Disposable Bailer Sampling <br /> Equipment Bailer EquipmentIsposable B I ea II <br /> Stack al <br /> uctfo Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time Weather Conditions - <br /> Sampling Time 11 4 Z- Water Color Odor <br /> Purging Flow Rate _ r anm Sediment Description jf=- <br /> Did well de-water? If yes, Time Volume (gal) <br /> Time Volume PH Conductivity Temperature D 0 ORP Alkaluury <br /> ( � ;imhos/cm)C/DO 'F (mg/L) (mV) (Ppm) <br /> > 31 <br /> LABORATORY INFORMATION <br /> SAMPLE ID CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSE5 <br /> J t/0;9 Yom ' SEQUOIA TPHIG1lbtex1mtbe <br /> COMMENTS <br /> 9197 6d4.1 frm <br />