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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client) <br /> Facility Job# 0 clk.C,- <br /> *Address: Date <br /> City. 'S h)C Sampler Jf"kl - „ <br /> Well (D U— Z Well Condition OK-- <br /> Well <br /> K--Well Diameter Z +n Hydrocarbon Amount Balled <br /> Thickness CJ -vt:> Le t (product/water) Ilons <br /> Total Depth If ZAO oOtr Volume 2" = 0 17 3' = 038 4" = 0 66 <br /> Factor(VF) 6" = 150 12" = 5 80 <br /> Depth to Water z�- � � it <br /> 3 X VF C7•� = 1�'�1 3 (case volume) = Estimated Purge Volume T`J {aalI <br /> Purge Disposab)e Bader Sampling <br /> Equipment. Bailer Equipment: Disposable Bailer <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> run fo Grab Sample <br /> Cher Other go <br /> Starting Time i g q 7?- Weather Conditions _ d <br /> .Sampling Time 1 r 'Z1�7 Water Color /> _ - Odor <br /> Purging Flow Rate 3 gym, Sediment Description <br /> Did well de-water? If yes, Time- Volume foal.) <br /> Time Volume pH Conductivity Temperature D O ORP AIkahnity <br /> (gal) lamhos/cm F (mg(L) (mv) (ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE ID (41)- CONTAINER REFRIG PRESERV TYPE i LABORATORY ANALYSES <br /> N—Z 57Y v4 A Y y Ci SEQUOIA TPH(G)lbtexlmtbe+ S" D -3 C) <br /> COMMENTS. , <br /> i <br /> • <br /> 9197�Idnhm <br />