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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ 1OS« <br /> Facility * C 9v -- Job#: ,&C i 3.? <br /> Address- P0-c-,j",c- 4v-z Date* 410� -& ! <br /> City %Gk'&-^ Sampler ✓CaekL...s <br /> Well ID H W- Well Condition 3 <br /> Well Diameter Z rn Hydrocarbon Amount Sailed <br /> `'�'] <br /> Thickness fee Iproduct/waterl IGallonsl <br /> Total Depth 6�' �- VoIume 2"= 0 17 3"=038 4"=0 66 <br /> Factor(V)") 6" = 150 12' =5 80 <br /> Depth to Water Z.�'8 <br /> ft <br /> � r / <br /> qO' 3 X VFX 3 (case volume) = Esvmated Purge Volume - (caal_]_ <br /> Purge Disposable Bailer Sampling <br /> Equipment Bader Equipment < Is osable Bai <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grun o Grab Sample <br /> Other Other <br /> Starting Time Weather Conditions <br /> J <br /> Sampling Time q � l 5 Water Color Odo• Y--0 <br /> Purging Flow Rate I 1> _ aom Sediment Description <br /> Did well de-water? If yes, Time Volume (gal ) <br /> I <br /> Time Volume pH Conducuvlry Temperature DO ORP Alkallnlry <br /> b $ 3 j�)UO4 6�, (mom) (mom (Ppm) <br /> S"s`1 �� s 2A 64. >P <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#I CONTAINER AEFAIG PRFSERV TYPE i LABORATORY ANALYSES <br /> 3 k"019Y 1461 SEQUOIA TTP.yH(G)lbtex/mtbe ` <br /> COMMENTS <br /> 9197 firNdtl Irm <br />