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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ uri oc.a <br /> Facility zit6� z3 Job#: <br /> Address: _I03 Curr'1J'&j 4A'• Date: <br /> City; _ r Sampler: Jah- a <br /> Well ID u, 3 Well Condition <br /> Well Diameter Z .n. Hydrocarbon Amount Bailed <br /> Thickness' {feet} Iproduct/wated' 59 fGallons) <br /> Total Depth Volume 2" =0 17 3"=0 38 4" =0 66 <br /> Depth to Water <br /> q Q Factor(VF) 6"= 1.50' 12"=5 80 <br /> � � - n. <br /> •��` X VF '_ �•ZA) X 3 (case volume) = Estimated Purge Volume 7 6 a (Q81 1 <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment isp sable Ba r <br /> Stack Bailer <br /> uctl Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> 'i <br /> T <br /> Starting Time Weather Conditions <br /> Sampling Time Water Calor rn Odor Yom! S <br /> Purging Flow Rate t Qom Sediment Description r. 17L <br /> Did well de-water? If yes, Time Volume _ (gal ) <br /> T Time Volume pH Conductivity Temperature DO ORP Alkaluuty <br /> (gal) ��osJrn1�(/pd� 'F—NE (m$/l) —(mV)^ (Ppm) — <br /> 10, 3 Z• - 7.9-j- 43 3 14: 2-1-_ _ - -- - -- - - ---- - <br /> LABORATORY INFORMATION <br /> SAMPLE ID [x1 CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> `j fQ� Y SEQUOIA TPH(G)/btex/mtbe <br /> t l— 3 Z v).A Y- odic <br /> COMMENTS <br /> W97 n■ideUrm <br />