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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ _ _ <br /> Facility z_< ::- 111�5- Job;: !g'o1-4T <br /> 1, Address: I Date: 2-/9/CD <br /> City: Lrz:� e�"ri� CQ. Sampler: V Irl <br /> Well ID r�j,;,� �'� Well Condition- <br /> Well Diameter in. Hydrocarbon Amount Bailed <br /> Thickness: Ifeetl (productlwaterl: _� tGatlonsl <br /> Total Depth 3'• ft. Volume 2"=0.17 3"=0.38 4' <br /> Factor(VF) 6"= 1-50 12"= 5.80 <br /> Depth to Water �� ft. <br /> 2/�• O X VF _ + X 3 Icase volume) = Estimated Purge Volume: <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Disposable Bail <br /> Sta a <br /> Succi Pressure Bailer <br /> Grundtos Grab Sample <br /> Other: Other: <br /> Starting Time: 7, Z Weather Conditions: • w <br /> 4-14- <br /> Sampling Time: -111, 40 Water Color: kr Odor:_rvc,) <br /> =='f g Flow Rate:I <br /> Pur n I. <br /> g �_ unm• Sediment Description: <br /> Did well de-water? YU If yes; Time: Volume: <br /> S <br /> Time <br /> Volume pH Conductivity Temperature D.O. ORP Alkalinity <br /> 64. <br /> LABORATORY INFORMATION r' <br /> SAMPLE 10 1#1- CONTAINER REFRIG_ PRESERV.TYPE i LABORATORY ANALYSES <br /> H r <br /> -Y Y if C, SEQUOIA TPHIG)lbtexlmtbe4 S <br /> COMMENTS: <br /> 9rsra.ra.in�, <br />