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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ 7rZ�, s'c-z� <br /> • Facility syz / Job#: 1en /31? <br /> Address: -73a3 Date: -6 J11Z2 <br /> City: S7�a�,L �, Sampler: ✓c�u��Q� <br /> Well ID M — ' Well Condition- e)t <br /> Well Diameter Z-- .n. Hydrocarbon Amount Bailed <br /> Thickness ee (product/water) allans <br /> Total Depth `f Z ft, Volume 2" =0 17 3" = 0 38 4" = 0 66 <br /> Depth to Water ti. Factor(VF) 6"= 150 12"= 5 80 <br /> �y,�f <br /> X VF X 3 (case volume) = Estimated Purge Volume foal I <br /> Purge Disposable Bailer Sampling <br /> Equipment Bailer Equipment: Disposable Bailer <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time Weather Conditions <br /> Sampling Time Water Color Odor <br /> Purging Flow Rate m Sediment Description <br /> Did well de-water? If yes, Time Volume <br /> i <br /> Time VolumepH Conducttvtty Temperature D O ORP Alkaluuty <br /> (gal) µmhoslcm F (mg/L) (mV) (ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE ID 1#) - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> Y SEQUOIA TPHIGUbtex/rritbe <br /> a <br /> i <br /> COMMENTS• �• <br /> 9197 n.idat rrm <br />