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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ Lf„ f <br /> Facility e,gg _ Job#: Z v0 V6 <br /> Address: s'Lv� f4c. �• Date: I <br /> , <br /> City: �� r� �' - - Sampler: 1� <br /> Well ID M w– Well Condition 0�. <br /> Well Diameter in. Hydrocarbon Amount Bailed <br /> Thickness ffeetl (product/water): _ *anon) <br /> Total Depth _ � — h Volume 2"= 0 17 3'= 038 4" = 0 66 <br /> Factor(VF) 6"= 1-50 12'= 5 80 <br /> Depth to Water 3'"�L� ft� <br /> X46 X VF •I X 3 (case volume) = Estimated Purge Volume <br /> Purge Disposable Bailer Sampling <br /> Equipment Bailer Equipment J is osable Bail <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> run Grab Sample <br /> Other Other <br /> Starting Time Weather Conditions �^+ <br /> Sampling Time J, L - _ Water Calor 12d., Odor _ <br /> r <br /> Purging Flow Rate 1 aPm Sediment Description <br /> Did well de-water? If yes, Time Volume $gal i ` <br /> Time Volume pH Conductivity Temperature D O ORP Alkaluury <br /> (gal ) ymhoS1Cm)(/0Q F (mg(L) (mV) (ppm) <br /> s a G �•r 9 .�-f-Z . i�, <br /> 09 <br /> LABORATORY INFORMATION <br /> SHM rLt iD fin) - CvivYI ri�vwIN' RFRM oo CCCO%I rvoc / 1`ABODATOPV ANaI VCFC <br /> �n nc�nna f1L.JL11• ti <br /> H Z ✓0:4 Y {{G SEQUOIA TPH(G)lbtex/nom <br /> COMMENTS <br />