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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ un0 mat l <br /> 2 � <br /> Facility�E 22g.91 Job#: Bo -5�- <br /> • Address: /66 5 _AC,. a:�" Date: _V3/Z2 g, _ <br /> City: .3 710 C-,k-/Vn Sampler: Ila-v-lka s _ <br /> Well ID Well Condition <br /> Well Diameter Z in. Hydrocarbon Amount Bailed <br /> Thickness � (feetk (product/water) Gallon <br /> Total Depth Sy } ft. Volume 2'= 0 17 3' = 038 4" = 0 66 <br /> Depth to Water �'� <br /> Factor(VF) 6"= 1.50 12"= 5 80 <br /> _ 3� ft. <br /> _ X VF -S�/ZX 3 {case volume► = Estimated Purge Volume b al <br /> Purge Disposable Bailer Sampling <br /> Equipment Bailer Equipment Qgosable ai <br /> Stack Bailer <br /> Suc Pressure Bailer <br /> Gru Grab Sample <br /> Other Other <br /> . Starting Time 3 iZ 1;r Weather Conditions __ '�./ <br /> Sampling Time -' :57-z,- Water Color Odor <br /> Purging Flow Rate .1 C aorn Sediment Description <br /> Did well de-water? If yes, Time Volumefoal ) <br /> Time Volume pH Conducuvzty Temperature D O ORP Alkalinity <br /> (g ) urnhos/cm)e/a6 °F (mg/L) (mV) (ppm) <br /> T .off- z 3 <br /> s <br /> LABORATORY INFORMATION <br /> SAMPLE la CONTAINER REFRIG PRESERV TYPE i LABORATORY ANALYSES <br /> 3 VQ Y G SEQUOIA TPH(G)Ibtexlmtbe <br /> Vd,4 <br /> COMMENTS. <br /> is <br /> 9/97-1141da:fm <br />