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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ Cho Ct <br /> Facility !- 5498 Job#: _ ?-90e2 !54'6 <br /> 1 <br /> Address: Soo 6 fes, c - Date: --'?1a!A2 IF <br /> City: - sy� _ Sampler: _ dZ �79f ► <br /> Well ID Well Condition 61, <br /> Well Diameter z .n. Hydrocarbon Amount Bailed <br /> Thickness fee {product/water}: aflons <br /> Total Depth �' n Volume 2' = 0 17 3" = 038 4" = 0 66 <br /> Depth to Water ft <br /> Factor(VF) 6"= 1.50 12"= 5 80 <br /> 33.3 o <br /> 3 <br /> >'9(2 X VF 13- = a-1 G X 3 (case volume) = Estimated Purge Volume L 1 gall <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: isposa a Ba <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> UGrab Sample <br /> P Other <br /> Starting Time f Z ^� Weather Conditions <br /> _ Sampling Time Zi ��! , _ Water Calor Odor <br /> Purging Plow Rate i aom. Sediment Description. rvo-t� <br /> Did well de-water? If yes, Time Volume teal I <br /> -- Time Volume PH Conducuvity Temperature D O ORP Alkahrnty <br /> - - (S2) AmhoskmX100 P (mgt-) (mV) (ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE ID {#} - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES_ <br /> MW—I j ✓0.-9 Y 14G) SEQUOIA TPH(G)/btexlmtbe <br /> f� Z VJA <br /> COMMENTS: <br /> .�7 - - <br />