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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ 0 <br /> Facility# O q 91 _ _ Job#. 196 i 3 S <br /> Address _` 7r-- ��u�• r'�-_4�= Date _ -7I/sI?9 V, 0 <br /> City ,C' Sampler: _✓cX.7 k--% <br /> Well ID H w- Well Condition 1-)4-. _ <br /> Well Diameter Z in Hydrocarbon Amount Bailed <br /> q Thickness <P {feet! (product/water). � fGallonsl <br /> Total Depth /• � -ft- Volume 2"=0 17 3'=038 4" =0 66 <br /> L Factor(VF) 6"= 150 12"=5 80 <br /> Depth to Water 3. n_ <br /> �!3•z3 <br /> X VF a.�� _ '3JX 3 (rase volume) = Estimated Purge Volume ZZ.b Stal} <br /> Purge Disposable Bailer Sampling <br /> Equipment Bailer Equipment. <C is usable Bal <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> rundfo Grab Sample <br /> Other Other <br /> Starting Time Weather Conditions Iv.�. <br /> Sampling Time `', •tia Water Color e'k- Odo• f-40 S <br /> Purging Flow Rate Sediment Description <br /> Did well de-watery leo if yes, Time Volume <br /> Time Volume pH Condueceyity Temperature D O ORP Alkalinity <br /> •.mho�s/cm)UOG Zi � (m$IL) (mom (ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE ID IA`1 - CONTAINE13 REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> m✓~/"d 3 tl0.4 Y 14G) SEQUOIA TPH(G)/btex/mtbe <br /> Nw- S L Ird4 W Sze<ts ax -c-r, <br /> COMMENTS. <br /> 9197-fid6at!rm <br />