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WELL MONITORING/SAMPLING <br /> _ FIELD DATA SHEET <br /> Client/ T o S `o <br /> Facility W02 _ Job#: 1So Z 3� <br /> �- �'` Date: q- <br /> Address: LED- <br /> City: < Sampler: ✓ <br /> Well ID MlJ— + Well Condition: <br /> Well Diameter 2in. Hydrocarbon Amount Bailed <br /> Thickness: {productlwaterl' <br /> Total Depth �S' a $ Volume 2" =' O.17 3"= 0,38 4" =0.66 <br /> Factor(VF) 6" = 1.50 12"= 5.60 <br /> Depth to Water Z-'�' � b <br /> -�Z X VF ,f} Z x 3 {case volume} = Estimated Purge Volume.: I,t <br /> Purge Disposable Bailer Sampling <br /> Equipment- Bailer Equipment: Disposable B r <br /> Stack Bailer <br /> csiaETP Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: Other: <br /> Starting Time: 7i • Weather Conditions: C�� • <br /> Sampling Time: Z Water Color: Odor: bf-fl <br /> Purging Flow Rate.• / gipm. Sediment Description: ref' <br /> Did well de-water? Y''� If yes; Time: Volume: laaU <br /> Time Volume PH Conductivity Temperature D.O. ORP A1}adWty <br /> )uice F � �m>�-) (mV) (ppm) <br /> r� V • !I` f •-! q- <br /> LABORATORY INFORMATION <br /> SAMPLE ID {#)- CONTAINER REFRIG. PRESERV. TYPE ' LABORATORY ANALYSES <br /> �3^`o. Y SEQUOIA TPH(G)/btex/mtbe <br /> ♦e <br /> COMMENTS: <br /> M7-rA$ft.hm <br />