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WELL MONITORiNGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ u„oC-a r <br /> Facility 4/,2-3 __ _ _ Job#: Zgy'd �- <br /> . Address; /43Date: g�9�9 9 <br /> .r City: — —/-Qc , Sampler: Va t.lftn <br /> Well ID U- Well Condition: d le- <br /> Well <br /> Well Diameter ,n. Hydrocarbon / Amount Bailed <br /> Thickness `-� (feet) (Productfwater): (Gallons) <br /> Total Depth ZO'�� ft. Volume 2"—0 17 3' =038 4' a 0 66 <br /> Depth to Water <br /> Factor(VF) 6"= 1.50 12'=S 80 <br /> g-� y n. <br /> Q <br /> X VFX 3{case volume} = Estimated Purge Volume- <br /> Purge Disposable Bail Sampling <br /> Equipment: ai er Equipment• Isp sabie Ba r <br /> Stack Bailer <br /> AMW Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other- <br /> Starting Time 1 ��J �_ Weather Conditions Zt.-t__ — <br /> Sampling Time Water Color 4el- Odor <br /> Purging Flow Rate a❑m Sediment Description <br /> Did well de-watery 1� If yes, Time Volume [aeI ) � <br /> Time Volume pH Conducu,nty Temperature D O ORP Alkahruty <br /> 1 r 3 'S' {gc1) mmhos/ctm)(JD4 F {mg/i) {mV} {Ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE IO CONTAINER REFRIG PRESEAV TYPE LABORATORY ANALYSES <br /> q- 3 i/0.9 Y 14G 1 SEQUOIA TPH(G)Ibtex/mtbe <br /> 14- Z UvA g d/D <br /> U- 1 c�.� rr �-t• ..� � TPS - D <br /> COMMENTS <br /> 9197-flddaLfrm <br />