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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility r' "c':; ]1 �Sy Job-#: ! els l <br /> y Address: E7 S 5► Q S <br /> Date: zl9�C� <br /> City: j , ]/Jy na . _ Sampler: <br /> Well ID Mw I Z Well Condition: C, /;,f— <br /> Well Diameter 2- in. Hydrocarbon Amount Baited <br /> Thickness: (feet <br /> Total Depth V-3 m ) {product/water): fGaAonsl <br /> ft. <br /> Volume 2"=0-17 3" =0.38 4"=0.66 <br /> Factor(VF) 6"= 1.50 12'= 5.80 <br /> Depth to Water '� ri f;. <br /> `—'-� X VF C1• X 3(case volume) = Estimated Purge Volume: <br /> Purge sable 83i1e Sampling <br /> Equipment: Bailer Equipment: Dispoeable Bail <br /> Stack <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: Other: <br /> Starting Time: _ l�� Weather Conditions. f Qj4A_L _ <br /> Sampling Time: jf Y Water Calor: Odor:' rtO <br /> r-� Purging Flow Rate: aom. Sediment Description: _ sf l-l- <br /> Did well de-water? If yes; Time: Volume: aI. <br /> Time Volume PH Conductivity Temperature D.O. ORP Alkalinity <br /> (gal.) ftmhos/rnr F (mil) (mV) (PPm} <br /> �� L'�S� 6S <br /> LABORATORY INFORMATION <br /> SAMPLE ID 4#1- CONTAINER REFRIG. PRESERV.TYPE f LABORATORY ANALYSES ' <br /> 'Z Y vd A y y G l SEQUOIA TPM(G)rbtexhatbe AQCKt.S��26� <br /> a <br /> COMMENTS: = <br />