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WELL MONITORING/SAMPLING <br /> ' FIELD DATA SHEET <br /> Client/ �_^vc�J <br /> FacllitJob#: 2�0� <br /> Address: <br /> s60� Date: ��iS�Oc7 <br /> _ ��r►�r S� �- <br /> City. Sampler. tlatA&S <br /> Well ID / Well Condition <br /> - - Well Diameter LL Y_ _ 2 In. - Hydrocarbon --Amount Balled µ r - <br /> Thickness {f a (Product/water) i{on <br /> Tata! Depth _, 6 $ Volume' 2"=0 17 3"m 0 38 4" = 4 66 <br /> Factor(VF) 6"= 1 SO - 12"= 5 80 <br /> Depth to-WaterLL fY 1 `� 1 '' v _ <br /> X VF &47- =5 X 3(case volume) = Estimated Purge Volume 1 �', (Cal I <br /> Purge Disposable Bailer Sampling A <br /> Equipment Bader Equipment: Disposable Bade <br /> Stack _ Bai er <br /> Suction Pressure Bader <br /> Grab Sample <br /> Other: Other <br /> Starting Time Z Weather Conditions. <br /> Sampling Time �,��� Water Color- P� _ Odor <br /> Purging Flow Rate W;'-, gom. Sediment Description <br /> Did well de-water? _ x-81 _ — If yes; Time: Volume- _- _(qal ) <br /> Tmc Volume pH Conductivity Temperature D_O— ORP——Al ia_"i <br /> (gal oslatq(Jppty <br /> - (mg/[.) (mV) (ppm) <br /> es 7- <br /> LABORATORY INFORMATION <br /> SAMPLE ID V) - CONTAINER REFRIG PRESSERV.TYPE i AABORATORY � ANALYSES <br /> YG' SEQUOIA TPH(G)/biex/affift <br /> COMMENTS: <br /> i <br /> 9197.aWd*thm <br />