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WELL MONITORINGISAMPLING <br /> Oknt/ ci"l <br /> t e.VT`Q 1"1 FIELD DATA SHEET <br /> Facility--O - (o Job#: a g6:> S 4S <br /> ' Y <br /> Address: Date: ►i - - <br /> City: Y'o. CJ� Sampler: <br /> Well IDS Well Condition: <br /> Well Diameter a Hydrocarbon Amount Bailed <br /> Thickness: 1product/wated: <br /> Total Depth volume r-0.1 y 3":0.38 4" a 0-66 <br /> Factor(VF) 6"e 1.50 12"a 5 80 <br /> Depth to Water ft <br /> X VF a X 3 (case volume) a Estimated Purge Volume: <br /> Purge Disposable Bailer Sampling <br /> Equipment•. Bailer Equipment: isposable Bail <br /> Stack <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: <br /> Other: <br /> Starting Time: Weather Conditions: 41 <br /> Sampling Time: Water Color: 61 cd44 Odor: <br /> 11 <br /> Purging Flow Rate: Sediment Description: <br /> Did well de-water? if yes; Time: Volume: <br /> T1ate Yolume pH Conductivity Temper D.O. O AikaUulty <br /> LABORATORY INFORMATION <br /> SAMPLE 1D (e) - CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> MW— VOAV I AL Y HCL <br /> SEQUOIA TPH(Gilbtex/mtbe <br /> i <br /> COMMENTS: <br /> �7.nrex.mn <br />