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-------------- <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ _ <br /> Facility f (. ) � Job#: i gores <br /> m <br /> Address &7566 S) Date: <br /> City: Sampler: V C-11 <br /> Well ID Well Condition: <br /> Well Diameter 2- in- Hydrocarbon Amount Bailed <br /> Thickness: {feet} (product/water): _ {Gallons) <br /> Total Depth 31 As h- Volumc 2"=0.17 3" =0.39 4" 0.66 <br /> Factor(VF) 6"= 1S0 12"= 5.90 <br /> Depth to Water 61. 11 it, <br /> X VF&-j = 3• X 3 Icase volumel = Estimated Purge Volume: .G[val,) <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Disposable Ball <br /> Stack a <br /> Su to Pressure Bailer <br /> rundfos Grab Sample <br /> Other: Other: <br /> Starting Time: I: I/ Weather Conditions: <br /> Sampling Time: 1,130 Water Color: Odor-1,14Z <br /> Purging Flow Rate: . Sediment Description: <br /> Did well de-water? rto It yes; Time: Volume: rval.} <br /> Time Volume pH Conductivity Temperature D.O. ORP Madirdty <br /> (149 1 <br /> LABORATORY INFORMATION <br /> SAMPLE 1D 011- CONTAINER REFRIG. PRESERV.TYPE j LABORATORY ANALYSES <br /> r— IFY 1r.0 h Y H G I SEQUOIA TPI (G)rbteyJmthe <br /> { <br /> COMMENTS: <br /> t• <br /> arsrr-p.�a.ienn _.� <br />