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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ TO-5'40 <br /> Facility 6-78`1 Job#: 1$D!3 S <br /> • Address y fob Pae i Date: <br /> City � ,Gk Sampler .�gae 4-kes <br /> Well ID Well Condition. co A- <br /> Well Diameter !ns Hydrocarbon Amount Bailed <br /> Thickness <br /> fe 1productlwater) ll ns <br /> Total Depth 39 Volume 2"=0 I7 3" =038 4" = 0 66 <br /> Depth to Water <br /> Zft.4�l Factor(VF) 6"= 150 12"= 5 90 <br /> X VF G 6C _ X 3 (case volume) = Estimated Purge Volume 7 �gR al <br /> Purge Disposable Bailer Sampling <br /> Equipment- Bailer Equipment: isposable Bal et <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> -dMiiEmBe Grab Sample <br /> Other Other <br /> • Starting Time 9. Weather Conditions <br /> Sampling Time !y•a Water Color _ Odor n-0 <br /> Purging Flow Rate f ? _aom Sediment Description <br /> Did well de-water? If yes, Time Volume al <br /> Time Volume pH Conductivity Temperature D O ORP Alkaltnaty <br /> umhos/crn)VO() °F,, (mg(L) (mV) (ppm) <br /> {g f ) 67 15— 69. 5 <br /> 16 -F$ 6 2, 6T 4 <br /> 9�y( 14 3 <br /> LABORATORY INFORMATION <br /> SAMPLE ID l#) - CONTAINER REFRIG PRESERV TYPE i LABORATORY ANALYSES <br /> VW j V0-9 Y 14e4 SEQUOIA TPH(G)lbtexlmtbe <br /> VW— 3 2 i�04 SZGa�s jsey'•Gc�`7" <br /> COMMENTS' <br /> 9197-I1aidat Irto <br />