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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ To sc10 <br /> Facility 6q sob#. J 8 fll3 S <br /> Address' Date: <br /> City: S Sampler: <br /> Well ID Pyr Well Condition: dde - - - - - - - -Well Diameter in, Hydrocarbon Amount Balled <br /> Thickness, _ f (product/water): (Gallons) <br /> Total Depth Z.Sa tL Volume 2"-017 3"a 0.38 4" =0 66 <br /> Factor(VF) 6"- 1.50 12"- 5 80 <br /> Depth to Water <br /> _9 L• X VF =�Y X 3(case volume) s Estimated Purge Volume iaal.i <br /> Purge Disposable Bailer Sampling <br /> Equipment" Bailer Equipment Disposable Ba r <br /> Stack Bai er <br /> Suction Pressure Bailer <br /> Grab Sample <br /> Other. Other <br /> Starting Time �% -� Weather Conditions: . <br /> Sampling Time: �y► Z Water Color: Odor w4 _ <br /> Purging Flow Rate: Sediment Description. <br /> Did well de-water? If yes; Time: Volume: last l <br /> Time volume PH Conductivity Temperature D.O. ORP AlkaUWry <br /> �tL� XAD4 oF {mg/L} (MV) (pPn►) <br /> S. sa <br /> 11f ID A.5D <br /> 6 un <br /> LABORATORY INFORMATION <br /> SAMPLE ID V)- CONTAINER REMIG. PRESERV.TYPE r LABORATORY ANALYSES <br /> 3 6(079 YSEQUOIA TPHIG)/btex/mtbe <br /> COMMENTS: • <br /> 9ffl74.i Wj- <br />