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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ LInAc�t <br /> Facility vl z Job#. <br /> Address- Iy� cz"7 ,4'4� Date U// <br /> City _ Tri W Sampler (1 <br /> Well ID Well Condition t <br /> Well Diameter ' .n. Hydrocarbon Amount Bailed <br /> Thickness 4LiLeell (product/water) (Gallonsi <br /> Total Depth �� Volume 2"= 0 17 3"= 0 38 4" = 0 66 <br /> Factor(VF) 6" = 1 50 12" = 5 80 <br /> Depth to Water � ��L-_ <br /> 4 X VFU� = 1 ) X 3 (case volume) = Estimated Purge Volume O Igal 1 <br /> Burge Disposable Bailer Sampling _ <br /> Baer sEquipment po ale Bailer <br /> Stack Bailer <br /> uctioL Pressure Bailer <br /> Grundfos Grab Sample <br /> Other. Other <br /> Starting Time IO Weather Conditions da"— <br /> Sampling Time Water Color Odor 7-4-z <br /> Purging Flow Rate r aim Sediment Description S)A <br /> Did well de-water? ( � If yes, Time Volume <br /> Time Volume pH Conductrvsty Temperature DO ORP Alkaluuty <br /> l { c f/ limho cmy(/00 "F (mg/L) (mV) (ppm) <br /> a- <br /> LABORATORY INFORMATION <br /> SAMPLE ID V) - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> Y G) SEQUOIA TPH(G)tbtex/mtbe <br /> COMMENTS <br /> 5J97-fleldat t= <br />