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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ 7resc.0 <br /> Facility _6`?F) Job#• I$C/3 0 <br /> Address: Date: f <br /> City: �. n Sampler: Ifs <br /> Well ID 1"1 W— Well Condition L` <br /> Well Diameter in. Hydrocarbon Amount Bailed <br /> Thickness fee (product/water) I! ns <br /> Total Depth 5`t• L j volume 2"= 017 3" =038 <br /> 4" =066 <br /> Depth to Water 12 40 tt. <br /> Factor(VF) 6'= 150 12" =5 80 <br /> Z 5 g t X VF el 66 =17-03 <br /> X 3 (case volume) = Estimated Purge Volume S7 10 (gal) <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: rsposable 8ai er <br /> Stack <br /> Su' ct!°�� Pressure Bailer <br /> r Grab Sample <br /> Other Other <br /> • Starting Time Weather Conditions <br /> Sampling Time Water Color ,,La,�. Odor <br /> Purging Flow Rate aom. Sediment Description <br /> Did well de-water? _ If yes, Time Volume _ [Qal I <br /> Time Volume pH Conductivity Temperature D O ORP Alkaluut)r <br /> (gal) mmhos/cm)(/c og (mg&) (mV) (Ppm) <br /> 'O 3q <br /> 77-so q 6 0 <br /> LABORATORY INFORMATION <br /> SAMPLE ID [#} - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> H i.-I- .5- 3 VO 4 Y 401 SEQUOIA TPH(G)/btex/mtbe <br /> t e <br /> • COMMENTS- <br /> 9197 flefdat ftm <br /> �l <br />