Laserfiche WebLink
1 <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> . Client! -- <br /> Facility -UAi1 a <br /> 9:,41 0( I �Tos� Job#: f $ v 1 3 8 <br /> Address: !. 7 a 7 ✓EW v' Date: /_ 27_a Mo�v+'Tn ,o g� <br /> fAje•y t.fo <br /> City: 11 C —/ZAI Sampler: S T EvE 8,a cd A., <br /> Well iD V W - -7 -, Well Condition: <br /> � � <br /> Well Diameter _ m Hydrocarbon Amount Sailed <br /> Thickness- ifevj Wroducdwaterl' 11 rt <br /> Total Depth s Volume 2' - 0 17 3'=a038 4' �066 <br /> • 0 Facwr(VF) 6' = 1S0 12' - 5 80 <br /> Depth to Water 17. �. <br /> X 3 (nose "lumel - Est+mated Purge Volume 'j3 1001-1 <br /> Purge Disposable Saler Sampling <br /> Equipment: Bailer Equipment r,.0isposable Bader <br /> Stack ai <br /> Suction Pressure Bader <br /> run Grab Sample <br /> t er• Other <br /> Starting Time Weather Conditions Cc O vy <br /> Sampling Time. /6' 1.5-- (1-zf -on) Water Color, , Cs_ l?-- Odor -*- r <br /> Purging F:iow Rate t •S "rm Sediment Description <br /> D+c well ae-water7 If yes, Time - Volume. , +sial + <br /> Time Volume PH Condueuvncv Tana`-azure D O ORP AUcal mtry <br /> ,�, janhomasi •"e (mei.) (mom (pnm) <br /> fS-: F3 <br /> LABORATORY INFORMATION <br /> SAMPLE lD (?) - CONTAINER REF 1G PRESEW TYPS LABORATORY ANALYSES <br /> V VJ 7_ VbS y 6�=e SEQUOIA I TPH(Gjnnexlmtbe/S-u)1tL <br /> • CCMMENTS. <br /> • 9+97.11aau Nm <br />