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4 1 n 4 t , '{ — <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility X981 Job# a f 3 S <br /> Address. Y741-7 Pctc: ; : • Date: ►j r 6 <br /> City- C,IL Sampler: <br /> Well ID Y1+✓— r Well Condition eD At- <br /> Well Diameter in, Hydrocarbon Amount Balled <br /> Thickness: f (product/water)- (Gallons <br /> Total Depth <br /> Volume 2' =0 17 3"m 038 4" =0 66 <br /> 2-7•D Factor(VF) 6"= 150 12"= 5 80 <br /> Depth to Water T <br /> �p •rr X VF 0 4d =109-�X 3 Icase volume) = Estimated Purge Volume �� aal <br /> Purge Disposable Bailer Sampling <br /> Equipment Bailer Equipmento ble B er <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> 6w 1`s Grab Sample <br /> Other Other <br /> Starting Ttme Weather Conditions G��ct✓_ = ko <br /> • Sampling Time Z; 5Z Water Color 4J.X - Odor r-! <br /> Purging Flow Rate Z anm. Sediment Description <br /> • Did well de-water7 if yes, Time Volume <br /> Time Volume PH Conducuvtty Temperature D O ORP Alkah ury <br /> (Sal ) µmhos/cm.</OG F (mg(L) (mV) (Ppm) <br /> zol f_&8 It �,► 3 6S' <br /> LABORATORY INFORMATION <br /> SAMPLE iD J#)- CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> if w — r 3 t/0--9 Y G' SEQUOIA TPH(G)/btexlmtbe <br /> vw_ ^z�aC� miry u .. <br /> COMMENTS <br /> 9/97 lidtlat frm <br />