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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client! <br /> Facility To CO Job#: 90 <br /> Address: WE M C UIP E Date: � GO <br /> t)C �1 C A <br /> City: <br /> Sampler: <br /> Well 1D ! ' `vv Well Condition: <br /> Well Diameter Hydrocarbon Amount Bailed <br /> "7� <br /> Thickness* iproductfwaterl• <br /> Total Depth f�t Volume 2"=0 17 3"=0 38 4' =066 <br /> Factor(VF) 6"= 1.50 12" = 5 BO <br /> Depth to Water <br /> to X VF OP = X 3 (case volume) = Estimated Purge Volumeghl <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Dis osable Bader <br /> Bader <br /> Suction Pressure Bader <br /> Grundfos Grab Sample <br /> Other <br /> _ Other <br /> Starting Time <br /> D t O S.—= Weather Conditions <br /> � <br /> Sampling Time <br /> Q Water Color Odor <br /> Purging Flow fiats CIDM. Sediment Description <br /> Did well de-water? if yes, Time Volume 1oal.1. <br /> Time Volume PH Conductivity Temperature D O ORP Alkalinity <br /> (gal) gmhos/cm (mV) (Ppm) <br /> L <br /> LABORATORY INFORMATION <br /> SAMPLE ID 101 - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> 4 ` O A►-t Y C SEQUOIA TPH(G)lbtexlmtl e <br /> Y�oyC_..� �r VJK s 6 L� <br /> COMMENTS: _ �1T1 ► `� �1� d� Z60 - <br /> 9197 r*Wal tin <br />