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n <br /> WELL MONITORING/SAMPLING <br /> _ FIELD DATA SHEET <br /> Client/ 7 0s C O <br /> Faciilty- 9 Job#: $'o/3� <br /> *Address: q-703'� J` ei,,U��.� . _� _ _ Date: <br /> City: <T <+ Sampler: zala r'e s <br /> Well 10 M vj- Z Well Condition O-A- <br /> Well Diameter Hydrocarbon Amount Bailed <br /> Thickness' ffeefl, (Productlwater) Gallons <br /> Total Depth ft. Volume 2" = 0 17 3" =038 4" = 0 66 <br /> Factor(VF) 6"= 150 12"=5 90 <br /> Depth to Water Z6./O ft <br /> S X VF Q =1 g�f�X 3 (case volume) = Estimated ?urge Volume iy al <br /> Purge Disposable Bader Sampling <br /> Equipment Bader Equipment: Disposable Bailer <br /> Stack Bailer <br /> Pressure Bailer <br /> Grab Sample <br /> Other Other <br /> •Starting Time IL Z Weather Conditions eA4-r✓ <br /> Sampling Time SS Water Calor Odor <br /> Purging Flow Rate coin Sediment Description <br /> Did well de-water? If yes, Time Volume real 1 <br /> Time Volume pH Conductivity Temperature DO ORP A}kaluuty <br /> Ly . . t _ _q oslcm� w0d -7 3 y GF (m8�-) (mV) (Ppm) <br /> !Z It11 <br /> 14D � -it `f-s`7 Z Z <br /> LABORATORY INFORMATION <br /> SAMPLE ID ( } . CONTAINER REFRIG PRESERV TYPE / LABORATORY ANALYSES <br /> r}4,j 3 V0,-9 Y Mc I SEQUOIA TPF!(G)1btex1mtbe <br /> Z ✓v46qP66so K .cQ-�► <br /> . COMMENTS: <br /> r <br /> >u»-eMaa.rm <br />