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' WELL IVIONI I oFillVti/5A1VIt'L1141a <br /> FIELD DATA SHEET <br /> Clientl 7-0,9,10 <br /> Facility zo Cc/R« Job#: <br /> ,Address: , 11474 Date: <br /> City: Sampler: s - <br /> Well ID Mrs — Well Condition: _ ) <br /> Well Diameter _ in• Hydrocarbon Amount Sailed <br /> Thickness: ffegg (productfwated: anon - <br /> Total Depth ��•�? ft. <br /> Volume 2'=0 I7 3' =0.38 4' = 0 66 <br /> Depth to Water ft, Factor(VF) 6'= 1.50 12'= S 80 <br /> _ i� � 3 � <br /> r � X VF Q-/ =7. X 3 (case volume) = Estimated Purge Volume G'`'r o faai I <br /> Purge Disposable Bailer Sampling <br /> Equipment Bailer Equipment. —Disposable 11 <br /> ae <br /> Stack al <br /> uctio Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> 0Starting Time Weather Conditions I .A.�,r <br /> Sampling Time _ 1/ , / a Water Color n Odor r�:e <br /> Purging Flow Rate 1 aom Sediment Description <br /> Did well de-watery if yes, Time Volume roar z <br /> Time Volume pH Conductivity Temperature D O ORP Alkaliruty <br /> Nmhos/cznXlda Q (mg/-) fmV? (Pp-) <br /> 3. <br /> LABORATORY INFORMATION <br /> SAMPLE 10 (0) CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> Nltf j r✓Q;q Y SEQUOIA TPH(G)/btex/mtbe <br /> r1r.t - 14- Z r,e- <br /> COMMENTS <br /> 8197 M�daf;Inn <br />