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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ 1)17 Z cy-'e f <br /> FaciItty- :5,6 9 Job#. 'Z v0 ';F4 <br /> Address: s6rv6 P-ae z c 4j;• Date: e'[/7199 <br /> City: _�Z � Sampler- ✓ <br /> Well ID M W - 19-5 Well Condition: ©X— <br /> Well Diameter 21 In, Hydrocarbon J Amount Bailed <br /> Thickness' `-T {feet} (product/waterl' IGallons� <br /> Total Depth ft. Volume 2"= 0 17 3' =038 4' =0 66 <br /> F2aor(VF) 6"= 1.50 12' =5 80 <br /> Depth to water 33 3 9=21, <br /> 6 0 X VF Q =Z� L-X 3 (case volume) = Estimated Purge Volume �(gal l <br /> Purge Disposable Bailer Sampling <br /> Equipment- Bailer Equipment �is osable Bai -' <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> <E— .W Grab Sample <br /> Other Other <br /> r <br /> Starting Time 'J `{ Weather Conditions _{'�_�a„� _ L <br /> Sampling Time '-f 1 <br /> G Water Color r� — Odor 's <br /> Purging Flow Rate I QPM Sediment Description <br /> Did well de-water? ti"G If yes, Time Volume tai <br /> Time Volume pH Conducuviry Temperature DO ORP Alkaluuty <br /> (^ - 11 Icmho�cm!(/QQ 4 '� (mY�-) (n►� (PPM) <br /> . 1-- 4, i •�Z ,� <br /> 5-19 <br /> LABORATORY INFORMATION <br /> SAMPLE ID (0)- CONTAINER REFRIG PRESERV TYPE i' LABORATORY ANALYSES <br /> 7i 1; f0-9 Y Yc-i SEQUOIA TPH(G)thtex1M2bkMe <br /> COMMENTS <br /> 9197-Fleidawhm <br />