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f � III <br /> VVtL!_ iVIUixii i UrUi1 .:z/,.)A1VIVLJAiU �' <br /> I I 1 , i' r + d l I <br /> " FIELD JA":"A SHEET' - �'- 1 ` ' 1' 1;'I` ' '"' <br /> / � + � <br /> Client/ l/IGS <br /> S4q Job#. <br /> Fac�Irty a u _ T <br /> r <br /> Address, 5-4 ��- - Date. NIZi f 1 ig!2 I M 1 - <br /> S ' <br /> City. r-O>+L& Sampler , -����� <br /> r <br /> I I <br /> Wel! ID m r�2 LI Well Condition <br /> Well Diameter 2 In I + Hydrocarbon w ' I Amount Balled <br /> / Thickness (fCe (product/water) (Gallons) <br /> (Q <br /> Total Depth - �Volume 11 � ��^2"= 0 17 i-' � '' 3'= 03&- �.,� - '.�4" = 0 66 <br /> Fattor _ <br /> Y 4z a - 6" 1"50'-_ , 12" ='5 80 <br /> (VF)M� <br /> Depth to Water <br /> 7!3-0:'1—x VF =:L7/X 3 (case volume) = Estimated Purge Volume �6 g� (gat ) <br /> � l <br /> Purge Disposable Bailer 11 "5ampling .�t <br /> Equipment Bailer r Equipment is osable Ba f ' , <br /> Stack <br /> Sailer ' <br /> __ � _ � , a _ � , .� � . _, , r <br /> Suction - � Pressure Bailer '- "'i-q. s <br /> ru n Grab Sample r <br /> r m Other �_: u s Y} 5 Other _- <br /> i <br /> I <br /> Starting Time _ __ Weather'Conditions <br /> Sampling Time S Ufa Water Color Odor <br /> Purging Flow Rate r m Sediment Description <br /> ' Did well de-water? If yes, Time Volume al <br /> �onduyu tyTemperature D O f r ORI' Alkalinity <br /> ,� <br /> s�:. <br /> (gal } - -- �mhos/cmy(fp�} �-eF--------_�--(m�L)-----r--(mV) - --(PPTn)'V-- <br /> g ,�' 415_ 4..�� _ b .rz i <br /> i <br /> LABORATORY INFORMATION °� v <br /> SAMPLE 10 E (#) - CONTAINER REFRIG ` PRESERV TYPE LABORATORY ANALYSES <br /> M L2- VOM era Y SEQUOIA TPH(G)1btexhrmW1L- <br /> , } <br /> COMMENTS <br /> , <br /> ' 9197 llddel f1M <br /> 1 I + I 1 h <br />