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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility r0 Job#: IS-0 11 <br /> Address: W T M Lf��i E Date: <br /> City: OC O N 0- Sampler: _ �=% REVD K <br /> Well ID PAW`Vv — T Well Condition: [l K <br /> Well Diameter -tn. Hydrocarbon Amount Balled <br /> Thickness: (productlwater): <br /> Ef (Gallons) <br /> Total Depth t 5-0�L Volume 2" = 0 17 3"-0.38 4" =066 <br /> Factor(VF) 6"= 150 12"=5 80 <br /> Depth to Water <br /> L X VF O4 X 3 (case volume) - Estimated Purge Volume <br /> Purge Disposable Bader Sampling <br /> Equipment- Bailer Equipment: Dis osable Bailer <br /> Stank Bader <br /> Suction A pressure Bader <br /> Grundfos Grab Sample <br /> Other Other- <br /> Starting Time i Weather Conditions <br /> Sampling Time Q Water Color Odor <br /> Purging Flow Rate _ m Sediment Description <br /> Did well de-water? d_ If yes, Time Volume <br /> Time Volume PH Conductivity Temperature DO ORP Alkalinity <br /> (gal) Amhos/cm ;e-Co (M8/0 (mV) (PPM) <br /> 1S s- <br /> ---A-- �7�-- —°�v 4 <br /> LABORATORY INFORMATION <br /> SAMPLE ID CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> j oSX V4 Y C SEQUOIA TPH(G)Ibtexlmtbe <br /> & o 0A08 y H-c-t IDAI 15 b, 0 <br /> A M ell <br /> i <br /> COMMENTS- <br /> ef97-n.ld.e rnn <br />