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WELL NIONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ Un.0C-4 <br /> Facility L o Z3 <br /> Job#: Z�vd �- <br /> Address: . /03 Ce-O,frQ.1 Date: <br /> J r cy Sampler: y�� <br /> City: .� <br /> Well ID U- 1 Well Condition d *- <br /> Well Diameter Z m. Hydrocarbon Amount Bailed <br /> Tota! Depth 1 <br /> Thickness: � Ifeetl, {praduct/water} ttorss <br /> a h Volume 2" = 0 17 3" =038 4"—0 66 <br /> Depth to Water <br /> 9 Factor(VF) 6"= 1-50 Ir=S 80 <br /> ' 9,0 K VF �_ Z-'K 3 (case volume) = Estimated Purge Volume `aijk <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment +sp sable Ba r <br /> Stack Bailer <br /> uctl Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time - Weather Conditiorns C c�t.ti <br /> Sampling Time Water Color Odor Yc.n M <br /> Purging Flow Rate 1 aom Sediment Description <br /> Did well de-water? LLL! if yes, Time Volume (gal i <br /> Time Volume pH Conductivity Temperature D O ORP Al.ksluuty <br /> l _ Z <br /> LABORATORY INFORMATION <br /> SAMPLE 10 (x) - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> f01-9 Y SEQUOIA TPH(G)1btex/mtbe <br /> COMMENTS <br /> 997-n.ra+c.�+ <br />