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WELL MONITORING/SAMPLING <br /> Itientl FIELD DATA SHEET <br /> Facility l"� l l Job#: <br /> Address; <br /> t G Date: <br /> a-• l[,- o <br /> �3 <br /> City; <br /> Y1 CA Sampler: „� �'�„e►N l� "r. <br /> [ °f <br /> Well ID r Well Condition: <br /> �r <br /> Hydrocarbon Amount Bailed $ <br /> Well Diameter Thickness: -Q' Iproduct/weteri' <br /> IGRUMO <br /> Total Depth �'�• sr=017 7- 0volume .38 4`=0.66 <br /> Factor{VF) 6"- 1.50 12"- 580 <br /> Depth to Water 3 . 5 L <br /> q <br /> bo. 06 6 1 x VF 1• Q x 3 icwe volume) - Estimeted Purge Volume'4S-7-7 <br /> tania <br /> Purge Disposable Bailer Sampling <br /> Eq (Disposable <br /> Equipment• Bailer uipment: BaeBailer) <br /> (Stack) Pressure Bailer <br /> Suction - Grab Sample <br /> Grundfos Other: <br /> Other: <br /> Weather CondWons: Sl ll3►�`t' <br /> Starting Time: L£L,q IL Odor- <br /> Sediment <br /> NO <br /> Sampling Time: a-3 Water Calor: — <br /> Purging Flow Rate: •0 Sediment Description- <br /> Did well de-water? <br /> If yes: Time: Volume: <br /> Conductivity Temperature D.O. ORP Anmliatty <br /> Time Volume PHX[00 (mV) (PPM) <br /> Ct <br /> LABORATORY INFORMATION Ar�ALYSF:s . <br /> pRESERV.IYPE LABORATORY <br /> SAMPLE iD F+fi- <br /> CONTAINER REG• SEQUOIA TPHIGilbcexlmta <br /> Y <br /> ow-t 5- VOMs o <br /> COMMENTS: <br /> urr <br />