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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ rJ„ e'4 f <br /> Facility-# 5'0 Job#: Z toc1 {f� <br /> Address: 6 o 6 IDQc iDate: w6 L/ �9 <br /> City: .—..s -1 �' — Sampler: 4t,4)6A <br /> Well 10 H W—z-I D Well Condition: a A- <br /> Well Diameter in Hydrocarbon Amount Balled <br /> Thickness' tee (product/water): 4-261 IGallonsl <br /> Total Depth Volume 2" =0 17 3" =038 4" =0 66 <br /> Factor (VI-) 6"= 1-50 12"= S 80 <br /> Depth to Water �G G� n. <br /> ! ) X VF ,1 = • j6 X 3 (case voiumel = Estimated Purge Volume 7j I S al <br /> Purge Disposable Bailer Sampling <br /> Equipment Bailer Equipment- <br /> Stack <br /> quipment Stack Bailer <br /> Suction Pressure Bailer <br /> cziundf Grab Sample <br /> Other Other <br /> Starting Time Weather Conditions c � <br /> / 1 <br /> Sampling Time � ' Water Color c�)v Odor N+ <br /> Purging Flow Rate _ �- cram Sediment Description <br /> Did well de-water? Y� _ If yes, Time Volume zi <br /> Time Volume pH Conductivity Temperature D O ORP ALkaluuty <br /> (gal? umhos/cm)C/Do •F (mg/1-) (mv) (PP-) <br /> LABORATORY INFORMATION <br /> SAMPLE ID {!l1 - CONTAINER REFRIG PRESERV TYPE i' LABORATORY ANALYSES <br /> (D 3 Jai Y Ffe i SEQUOIA TPH(G)lbtex/mtbe <br /> COMMENTS <br /> 9197-MWaLlrm <br />