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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ 3$(0y "1 <br /> FacilltyAo - (p2` g Job#: <br /> . Zy o� YY}a; n Date: <br /> AddressII -- <br /> �C� TDI C Sampler: <br /> City: S <br /> T'v <br /> Well ID <br /> MW- �— Well Condition: !� <br /> -ZHydrocarbon . Amount Bailed <br /> Well Diameter Thickness f (productlwater): i <br /> M" >= 038 4"= 066 <br /> Total Depth ! LF3CWffjM_ <br /> e 2 a 0 1 I 6"s 1.50 1�" = 5 80 <br /> 33 r <br /> Depth to Water �' <br /> l x VP j 7 I"5 X 3(case volume} = Estimated Purge Volume <br /> able Bailer Sampling <br /> Purge Equipment: Disposable Bal <br /> Equipment: Bailer ai er <br /> Stack Pressure Bailer <br /> Suction _ Grab Sample <br /> Grundfos Other: <br /> Other: • <br /> Weather Conditions: <br /> Starting Time. -r Odor: <br /> Sampling Time: Water Color: <br /> Purging Flow Rate: Sediment Description: <br /> Did well de-water? <br /> 1f yes; Time: Volume: <br /> Conductivity Temperature D.O. ORP Alkalinity <br /> Time Volume pH � .F I (mg/L) <br /> � <br /> LABORATORY INFORMATION <br /> LABORATQRY ANALYSES <br /> SAMPLE ID j#) - CONTAINER REFRIG PRESERV TYPE 'a• TPH(G)lbtex <br /> LYSE <br /> lmtbe <br /> Mw- VOAV I AI_ <br /> Y HC SEQUOIA <br /> COMMENTS: <br /> �� --- B1974%idal hm <br />