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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility Job#. ; O <br /> Address: 2 l,a 74 r Date Z <br /> City S A0 Sampfer / <br /> Well ID _ laLy 3 Well Condition: <br /> Well Diameter In. Hydrocarbon Amount Bailed <br /> Thickness- --yeelltproductlwaterl- all ns <br /> Total Depth 2 910 s- <br /> 2" 0 17 3"= 038 4'=0 66 <br /> Depth to Water 2 <br /> fo. Fattor(VF) 6'= 1S0 12'=S 80 <br /> Z! fr <br /> 1 2—9?- X VF -/ X 3 Icase volume) = Estrmated Purge Volume d�+ al <br /> Purge Disposable Bader Sampling <br /> Equipment Bader Equipment. Disposable B r <br /> Std--� Bai er <br /> u Pressure Basler <br /> Grundfos Grab Sample <br /> Other- Other. <br /> Starting Time ;a 6 Weather Conditions, <br /> Sampling Time Z-,r— Water Color- Odor: <br /> Purging Flow Rate _ eom Sediment Description <br /> Did well de-water? If yes; Time: Volume- aI <br /> Time Volume pH Conductivity Temperature D O ORP Alkalud <br /> ty <br /> t�� (mSl ) (mV) (PPM) <br /> LABORATORY INFORMATION <br /> SAMPLE 10 M- CONTAINER REFRIG PRESERV TYPE f LABORATORY ANALYSES <br /> 3 Sy 1/4 A Y h G f SEQUOIA TPH(G)/bteJmtbe <br /> ' i / Noel = TP v <br /> COMMENTS: s <br /> ! <br /> • SM7460duL*M <br />