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WELL MONITORING/SAMPLING y <br /> FIELD DATA SHEET <br /> Client/ ' l <br /> Facility Urns t/ �� � Job# :9960 t4 S <br /> r <br /> Address: Y3 I Cas _ Date- _10 'D <br /> City G Sampler: <br /> Well ID 2 Well Condition <br /> Well Diameter in Hydrocarbon Amount Balled <br /> Thickness ­DC> i ee) (product/water)' ' Gail ns <br /> Total Depth Oft Volume 2" = 0 17 3" = 4 38 4'= 0 66 <br /> - Factor(VF) r 6" = 1 50 - - f 2" = 5 SO ` +- <br /> Depth to Water L4•110 r, - <br /> q7. &0 A VF 0* =v.I X 3 (case volume) = Estimated Purge Volume <br /> Purge Disposable Bailer Sampling <br /> Equipment- Bailer Equipment: Is osable Baii <br /> Stack Sailer <br /> Suction r Pressure Bailer <br /> rund s Grab Sample <br /> t Fer Other: <br /> Starting Time 3 c'] Weather Conditions <br /> -Sampling Time - Water-Color _ Odor r-0 - <br /> Purging Plow Rate z 92M. Sediment Description <br /> Did well de-water- If yes, Time: Volume <br /> Time Volume pHConductivity Temperatures D O ORP ALkalmity� <br /> _ _ <br /> s t 4� <br /> LABORATORY INFORMATION <br /> SAMPLE ID (fl - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> 2- +5y UQ Y Ci SEQUOIA TPH(G)/btex/mtbe107)4� yS(92Czn) <br /> COMMENTS. <br /> 4 <br /> 919T�lEsLNm <br />