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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ Ji <br /> Facility 11n ( � � 1� �"" _ Job# <br /> Address: '13 7 � '� Jy r� � �<_• Date - � <br /> City- Sampler /� - <br /> Well ID ` � �'' Well Condition _ <br /> Well Diameter Hydrocarbon Amount Sailed <br /> Thickness ©-vim feet (productfwaterf (Gallons) - <br /> Total Depth y Volume 2' = 0 17 3"= 038 4" = 0 66 <br /> Factor(VF) - 6" = l 50 -x - 12"= S SO - <br /> Depth to Water <br /> X VF �•i�-�5 = X 3 (case volume) = Estimated Purge Volume gal <br /> Purge Disposable Bailer Sampling —' _ <br /> Equipment. Bailer Equipment_ Cisposable Bailer <br /> Stack Bailer _ <br /> Suction Pressure Bailer <br /> Grundfos 7 Grab Sample <br /> Other rvr 4 ra— Other. <br /> Starting Time • Y Weather Conditions I _ -- - <br /> Sampling Tirrie !0;Z.0 Water-Color _ Odor <br /> Purging Flow Rate & m Sediment Description <br /> Did well de-water7 if yes, Time Volume. foal) <br /> T1mc Volume pHs Conductivity Temperature D O ORF l Alkaltntry <br /> umhosJart � _ (mS/F-) (mV) (PP-) <br /> qif _-- 6 <br /> p•o S a � D <br /> r <br /> LABORATORY INFORMATION rt <br /> SAMPLE ID 111- CONTAINER REFRIG PRESERV TYPE i LABORATORY ANALYSES y Y <br /> /rP z� ZZY v Pf Y �} �ri SEQUOIA TPIi{G}/btex/rsitbe-f{��a f S�$Z�Ls, <br /> S <br /> COMMENTS. <br /> i <br /> BP,ln.6.iciaLft , <br />