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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ _ <br /> Facility 1 �;i' 111 Job#: <br /> ff / <br /> =" Address: f7 S S l T� 5 Date: � C7 I <br /> City: j !/� �/J i Sampler: VA&Z4— <br /> Well ID 14w — 3 Well Condition: L% �'t-- <br /> Well Diameter 2- in. Hydrocarbon Amount Bailed <br /> _ Thickness: Qom_ {feetl (ProducrJwater): r (Gallonsl <br /> Total Depth d. U 1 ft. Volume 2"=0.17 3" =0.38 4"=0.66 <br /> Depth to Water ,q f_ Factor(VF) 6"= 1.50 12'=5.80 <br /> X Vr-U• _ '� X 3(case vofume) = Estimated Purge Volume: _��' (aaL) <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Disposable Ball <br /> Stack a <br /> Succi Pressure Bailer <br /> Grundtos Grab Sample <br /> Other: Other: <br /> f <br /> Starting Time: _ Weather Conditions: ter a <br /> Sampling Time: Water Color: Odor: N TB <br /> Purging Flow Rate: /.. anm. Sediment Description: <br /> Did well de-water? e If yes; Time: Volume: aI <br /> Time Volume pH Conductivity Temperature D.O. ORP Alkalinity <br /> (g �� ,� umbo an16 — J F � (mg/L) (mV) (PPM) <br /> ge ss <br /> LABORATORY INFORMATION <br /> SAMPLE 10 V)- CONTAINER REFRIG. PRESEiiV.TYPE i' LABORATORY ANALYSES <br /> X V D Y y G SEQUOIA TPH(Gl/1AeWmtbe s KrsC� <br /> COMMENTS: <br /> s�sn-r�.ia.crrm <br />