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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ Tos`-o <br /> Facility-# 6 9.61 Job#: l go l 3g <br /> Address: 413-03' Be— c- `c i . Date: 12 0j <br /> City: ��,� �' Sampler _ VaA ft4g- <br /> Well ID V W' Well Condition � -- <br /> Well Diameter ,n Hydrocarbon Amount Balled <br /> _ Thickness feet (product/water)- allons <br /> Total Depth 3�' �� Volume 2"= 0 17 3" =0 38 4" = 0 66 <br /> Factor (VF) 6"= 150 12" = 5 80 <br /> Depth to Water 26'Z� ft <br /> 1,0Z' X VFO-46 = S�1 X 3 (case volumel = Estimated Purge Volume g�Qal1 <br /> Purge Disposable Bailer Sampling <br /> Equipment Bailer Equipment sable S filer <br /> Stack Bailer <br /> Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time Z: r Weather Conditions • <br /> Sampling Time Z-� Z Water ColorOdor <br /> Purging Flow Rate 1. 1 Rom Sediment Description <br /> Did well de-water? Pea If yes, Time Volume coal I <br /> Time Volume PH Conductawry Temperature D O ORP Alkalinity <br /> '. r oto 3-ba �z q <br /> Z�� 1�- �`� � DZ. � . bT ti• <br /> LABORATORY INFORMATION <br /> SAMPLE ID (frI - CONTAINER REFRIG PRESERV TYPE i' LABORATORY ANALYSES <br /> 3 V0.4 Y Jfc) SEQUOIA TPH(G)Ibtexlmtbe <br /> COMMENTS: <br /> 8/9741ki"O n <br />