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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Ctient/ <br /> FacilriY1 ris <br /> Job##: i 3 <br /> Address: L t-Z- ,- pate: <br /> 2 <br /> City. Sampler. / <br /> Well 10 _ MW� S Well Condition ..sc- <br /> Well Diameter 2 .n Hydrocarbon Amount Balled <br /> Total Depth <br /> Thickness _ D {feet} Iproduct/water) Gallons <br /> _ I�.�� ft <br /> Volume 2'=0 17 3`=0 38 4"=0 56 <br /> Depth to Water ' Factor(VF) 6"= 1-50 12"=5 80 <br /> X VF = X 3 (case volume) = Estimated Purge Volume 3,0 s I laa! <br /> Purge isposable Bader Sampling <br /> Equipment. Bailer Equipment: Disposable B r <br /> Stack Bal er <br /> Suction Pressure Bailer <br /> Other-Grundos Grab Sample <br /> Other Other <br /> Starting Time I Z!0 Weather Conditions_ /iACQull, <br /> d <br /> Sampling Time _ �/ , 3 _ Water Color <br /> Odor: 1---O <br /> Purging Flow Rate: m Sediment Descnption. <br /> Did well de-water? If yes; Time: Volume: <br /> I <br /> Time Volume PH Conducuvity Tetaperaturc DO. ORP <br /> ($ A11ral�tuty <br /> t ) 7 1�tnho 2 f F <br /> (MV) (PP-) <br /> 6 ----- <br /> / a 3 �• a� 1 6a• .�' <br /> LABORATORY INFORMATION r <br /> SAMPLE ID 01- CONTAINER REFRIG PRESERV.TYPE i' LABORATORY <br /> ANALYSES r <br /> MW— Sy 1To f'r Y H G I SEQUOIA TPN(Gllbtexhintbe <br /> r>S OX is fAf iel <br /> COMMENTS. <br />