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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility _ lana ect � � � 1 4` Jab#/ <br /> Address: .,.&s er Date- <br /> City- aek& 23 Sampler oWLA .N <br /> Well ID ►YL`� ����� Well Condition 194 <br /> Well Diameter7 +� Hydrocarbon Amount Bailed <br /> Thickness 0.00 feet (productlwated Gallons <br /> Total Depth CLQ a n volume 2"= 0 17 3' = 0 38 4" = 0 66 <br /> Factor(VF) 6' = 150 12' = 5 SO <br /> Depth to Water 7-�'� Ir <br /> x VE Q.123 (case volume) = Estimated Purge Volume gD(oal ) <br /> Purge Disposable Bailer Sampling __ <br /> -'-�` <br /> Equipment Bailer Equipment: Disposable Baiiery <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grund#os Grab Sample <br /> Other 9 � Other <br /> Starting Time 4 Weather Conditions <br /> Sampling Time 1 Water Color d _ Odor n.o <br /> -�- Sediment Description <br /> Purging Flow Rate <br /> Did well de-water2 Ala� If yes; Time Volume al <br /> Time Volume PH Conductivity Temperature D O ORP Alkaltmtty <br /> r <br /> LABORATORY INFORMATION <br /> SAMPLE 10 0) - CONTAINER REFRIG PRESERV TYPE i' LABORATORY ANALYSES <br /> Y V-0 pf Y Ci SEQUOIA TPH(G)/btex/mtbe-- JO 'T!(,g�6t)) <br /> COMMENTS. <br /> s <br /> i <br /> 9M4k"aLhm <br />