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WELL MONITORING/SAMPLING V <br /> FIELD DATA SHEET <br /> Client/ CKEV204 <br /> Facility Job#: <br /> Address. 66 <br /> P Ae-k Int[ AVE- Date: ► z - at <br /> City: SToLK-r01i�4 Sampler: <br /> Well IDS �I� _ Well Condition du <br /> Well Diameter -� in Hydrocarbon o- Amount Balled <br /> Thickness {feet {product/water) (Gallonsl <br /> Z - <br /> Total Depth -�� s h Volume 2" = 0 17 3" = 038 4" = 066 <br /> O Z Factor(VF) 6" = 1 50 12" = 5 80 <br /> Depth to Water ft <br /> X VF I-1 = y X 3 (case volume) = Estimated Purge Volume I <br /> Purge Disposable Bailer Sampling <br /> Equipment iJ Equipment: Disposable Bailer <br /> Stack <br /> uctlon Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time <br /> Weather Conditions S <br /> Sampling Time 9 Water Color. l- Odor N� <br /> Purging Flow Rate OOM. Sediment Description <br /> Did well de-watery No If yes, Time Volume. <br /> Time Volume pH Conductw3ty Temperature x D O ORP Alkaluuty <br /> l ) = µmhoalcmxl00 OF - (mgfL) (mv) (Ppm) <br /> LABORATORY INFORMATION <br /> -- --�- SA"MPLE ID- - CONTA�IjNER_... REFRIG ___PRESERV_ TYPE-- LABORATORY ANALYSES <br /> Y �.il.. SEQUOIA "[ 4 1QTU KTU <br /> a c 's b Zzo <br /> COMMENTS New Vv----1Z &LNe(- doh Cv� <br /> 9)97 fldda!}rm <br />