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r <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client! � <br /> Facility.; �' Z � Job#: _? �Do <br /> Address: Ce$1yf-' 1 Date: <br /> City: Sampler: L, <br /> Well 10 GJ- �- Well Condition: <br /> Well Diameter Z in. Hydrocarbon Amount Bailed <br /> Thickness' ifee (producv-ater)' {GarTonsi <br /> Total Depth g <br /> Volume 2" = Q 17 3" =038 4' Q 56 <br /> Depth to Water <br /> 3� Factor(VF) 6" = 150 12' 5 80 <br />' c1 <br /> 1 7, X Vf: X 3 (case volume) = Estimated Purge Volume �•�Z ( acyl 1 <br /> Purge Disposable Baile, Sampling <br /> Equipment. Bailer Equipmentis osable Bailer <br /> Stack Bailer <br /> do Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other- <br /> Starting Time 1 Z- a Weather Conditions C� <br /> Sampling Time 1 Z• Water Color r CIL,— Odor . 8-L2 _ • <br /> Purging Flow Rate CXM Sediment Description <br /> Did:well_demwater?� � If yes, Time Volume (gal <br /> Time V61ume pH --Conducuviry Temperature D O - ORP ALkaluury <br /> (�1al Y pmhos/cm)(Jpo OF <br /> (Mg/L) (mV) (Ppm) <br /> - <br /> r 4 Z <br /> L 7> 3 y <br /> LABORATORY INFORMATION <br /> SAMPLE ID 10) CONTAINER REFRIG PRESERV TYPE / LABORATORY ANALYSES <br /> u Z 3 Y yc SEQUOIA TPH(GUbtax/mase <br /> (.1 - 2 I ,� e✓ "� 1V'O�'� Tom_ <br /> COMMENTS: <br /> 9197 n.id.t hm <br />