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•1 � <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Faciiity-46_ 57?`�g _ Job#: Zgoc2 546 <br /> Address: 5'606 PQ G�f i '� Date: <br /> City: c�/ v n Sampler: s <br /> Well ID Well Condition 0 <br /> Well Diameter Z_ m Hydrocarbon ,�j Amount Bailed �/� <br /> 1� Thickness `-t� ifeetl ;productlwaterl �`-,' [Gallonsi <br /> Total Depth �•'r" ft Volume 2" = 0 17 3" = 0 38 4" = 0 66 <br /> Depth to Water <br /> O ft Factor(VF) 6"= 150 12" = 5 80 <br /> X VF 044- _ S)X 3 (case volume) = Estimated Purge Volume ZO ',47+4a3 1 <br /> Purge Disposable Bailer Sampling <br /> Equipment, Bailer Equipment is u�eB <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> ina� Grab Sample <br /> Other Other <br /> Starting Time Weather Conditions <br />® Sampling Time 6• 5D Water Colorer Odor <br /> Purging Plow Fate gorn Sediment Description <br /> Did well de-water? YLD If yes, Time Volume (gal ) <br /> Time Volume pH Conducuvity Temperature D 0 ORP Alka=ry <br /> � <br /> ( L K )CI00 I (m€/I) (mom (ppm) <br /> 1 5, <br /> LCL <br /> 6 �'"Z <br /> LABORATORY INFORMATION <br /> SAMPLE IO I#] - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> ON r/0--9 Y FTG SEQUOIA TPH(G)lbtex4l>ie <br /> COMMENTS: <br /> - s►9'�-naascrn+s <br />