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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Clients <br /> Facility 6 / Job#. <br /> Address: � -G /aa` Z Date: x1 <br /> City: SA kAS'n _ Sampler: <br /> Well ID V W Well Condition- <br /> Well Diameter in. Hydrocarbon Amount Balled <br /> Thickness f (product/water) 1! ns <br /> Total Depth 3r Z�r ft. Volume 2"= 0 17 3"=0 38 4'= 0 66 <br /> Factor(VF) 6" = 150 12" =S 80 <br /> Depth to Water Z�,S� _ft- <br /> 16 Z X VF G _ Z X 3 (case volume) = Estimated Purge Volume LI-31-1GA-11 <br /> Purge Disposable Bailer Sampling <br /> Equipment. Bailer Equipment: .sposahDB. r <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> s Grab Sample <br /> Other Other <br /> Starting Time _. `;�_.�' Weather Conditions — A,--7L <br /> • Sampling Time _ �% t G _ Water Calor htCo --rL,, AOdor <br /> Purging Flow Rate b m Sediment Description <br /> Did well de-water? y:e— If yes, Time Volume ai <br /> 'rime Volume pH Conducuvity Temperature D O ORP Alkaluuty <br /> �( a )� �cmtios/cm}(jex4 op (mg/L) (mV) (ppm) <br /> . 4� 3.6� <br /> -o <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#} - CONTAINER REFRIG PRESERV TYPE i LABORATORY ANALYSES <br /> VW, Vd A y p.to) SEQUOIA TPH(G)/btex/mtbe <br /> BZW a <br /> COMMENTS. <br /> • <br /> 9197-11aidat rrm <br />