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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ _ <br /> Facility /c-,'S " ; Job#: i �� T <br /> Address: If]5 ' S;� �� r7-��. S, Date: 2 C7 <br /> City: Sampler: 41�1r-4 <br /> Well ID _�j,;,+ Z Well Condition: <br /> Well Diameter 2- i,,. HydrocarbonAmount Bailed <br /> _ Thickness: 0L-45�(feetl (product/waterl: _� tGallonsl <br /> Total Depth 31. 03, fl. Volume T 2"=0.17 3" = 0.38 4' <br /> Depth to Water <br /> Factor(VF) 6" = 1-50 12'=5.80 <br /> � � �� f;- <br /> ZI• X VF 6 X 3 (case volume) = Estimated Purge Volume: ) oal. <br /> Purge Disposable Bailer Sampling <br /> Equipment: Sailer Equipment: Disposable Bad <br /> Stack <br /> ucuo Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: Other: <br /> Starting Time: /: SZ7 Weather Conditions: pa. &7—"1Q4 <br /> 4�— <br /> Sampling Time: _ 7i, 1 O Water Color: n Odor f&Z- <br /> Purging Flow hate: m Sediment Description: Cu ;�-- <br /> Did well de-water? IUD If yes; Time: Volume: aI <br /> Time Volume PH Conductivity Temperature D.O. ORP Alkalinity <br /> -1 L4jo6`5 6" Z. ('nF/1) (mom @P-) <br /> LABORATORY INFORMATION r' <br /> SAMPLE ID 01- CONTAINER REFRIG_ PRESERV.TYPE LABORATORY ANALYSES <br /> y v4 A Y SEQUOIA TPH(G) texlmtbe <br /> i <br /> s <br /> COMMENTS: <br />