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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ 4/h0 c-41 <br /> Facility 4 gggq Job#: 2 SBo <br /> • Address: I6h 5 pa U4�i c-_�!�• Date: i?/3f <br /> City- � ?��` Sampler: <br /> _ Well ID Well Condition <br /> Well Diameter Z in. Hydrocarbon Amount Bailed <br /> Thickness fteet) (product/water) alto ns) <br /> Total Depth _. ���� Volume 2'=0 17 3'= 038 4" = 0 66 <br /> Depth to Water �� SS Factor(VF) 6" = 150 12'= 5 80 <br /> X VF EW =5, l- X 3 (case volume) = Estimated Purge Volume a• (ul) <br /> Purge Disposable Bailer Sampling <br /> Equipment Bader Equipment: is usable ai <br /> Stack Bader <br /> Suction Pressure Bailer <br /> Grab Sample <br /> Other- Other <br /> Z.' Weather rConditions <br /> Starting Time ate_ <br /> Sampling Time Water Color Odor itrs <br /> Purging Flow Rate _ �. i oom Sediment Description <br /> Did well de-water? hD If yes, Time Volume (gal) <br /> Tune VoIurne PH Condueuviry Temperature D O ORP Allcaliruty <br /> Y4 pmhos/crnWa J °F (mglL) (mV) (Ppm) <br /> a <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#}- CONTAINER REFRtG PRESERV TYPE i LABORATORY ANALYSES <br /> MWf 3 o Y SEQUOIA TPH(G)lbtexlmtbe <br /> -c. Z Vh <br /> COMMENTS <br /> • <br /> 9197 NddIkOrm <br />