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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ To s o <br /> Facility Job#: 1 1:7 <br /> } J� 7� Date: <br /> Address: 1/_ �pQ S � � ��,rr � t --_ <br /> City: fir o Sampler: aLI '- s <br /> Well ID HLJ— ! Z Well Condition: Oe-- <br /> Well Diameter Z in., Hydrocarbon Amount Bailed <br /> Thickness: feet (productlwater): allons <br /> Total Depth Volume 2" =0.17 3' =038 4"= 0.66 <br /> !;actor{VF} 6"= 150 12'= 5.80 <br /> Depth to Water a' � n• <br /> �Z X VF =d `tyX 3 (case volume} = Estimated Purge Volume: Z' fual,l <br /> Purge Disp a Baffle Sampling <br /> Equipment: Hailer Equipment: usable Ba' <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: Other: <br /> >-_ Starting Time: ' S Weather Conditions: _ ' <br /> Sampling Time: 1' 00 Water Color: n Odor: <br /> Purging Flow Rate: _ qpm. Sediment Description: S <br /> Did well de-water? YZd If yes; Time: Volume: <br /> Time Volume pH Conductivity Temperature D.O. ORP Alkalinity <br /> l <br /> (gal <br /> - _ pmhos/cm)(/4d F tmg/I-) (mV) (Ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE 0 1p} - CONTAINER REFRIG. PRESERV. TYPE LABORATORY ANALYSES <br /> HW—) Z j f014 Y I4G 1 SEQUOIA TPH(G1lbtex1mtbe <br /> #4 t,i _ z Z rfd A (S- <br /> COMMENTS: <br /> sCOMMENTS: <br />