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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility# �+.Srt- o Job#: <br /> `�, t� W YY�u��� -�.� Date: s l zfL z- C,n-1k a <br /> Address. _ <br /> City_ � �c �'.�� ��C- Sampler: ��1-T •--.--- <br /> Well ID yf) LJ 4 D Well Condition. 6� , <br /> Well Diameter in Hydrocarbon Amount Bailed <br /> Thickness _ 12D Iteell (productlwatew- - -*allons _ - <br /> Total Depth S—ti <br /> Volume 2' - 0 17 3' = 0.38 4' 0-66 <br /> Depth to Water <br /> 19 Factor(V1~) 6'- 150 12'- S 8o <br /> G <br /> X VF -Ll- _ - 1 l d X 3 (case volume) = Esumated Purge Volume. 1 Joel.] <br /> Purge Disposable Bader Sampling -�---� <br /> Equipment: Bailer Equipment: k.Qisposable Berle <br /> Stack Bar er <br /> action , Pressure Bailer <br /> Grundlos - Grab Sample <br /> Other: Other. <br /> Siartrng Time: " S--D Weather Conditions: i <br /> Sampling Time: 6-E13/0"-? Water Color: Lprr Odor:_ TL�) <br /> Purging Flow Rate: _ l cnm. Sediment Description: <br /> Did well de-water7 Ii yes; Time: Volume: i <br /> Time Volume pH Conductivity Temperature D.O. ORP Alkalinity <br /> yrnhoVcm ' PPm <br /> 3--L- 123. 1 b t T <br /> rt3 57— 6 5, I <br /> LABORATORY INFORMATION <br /> SAMPLE ID IA1- CONTAINER REFRIG PRESERV. TYPE - LABORATORY ANALYSES <br /> X VOA VIAL Y NCL SEQUOIA TPH(GlAnexlmtbe� t �$ <br /> COMMENTS: <br /> 9J3!-IN1aa�tm1 <br />