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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility 1Y 9671 Job #: 1 8 0 1 g R <br /> l Address : 8606 I nr ,n 4 ) U Rte( . Date : 57 - 14 - 9 � <br /> City : c k o L-n Sampler: Tc � <br /> Well ID YNu: — ( Well Condition : <br /> j Well Diameter 2 In Hydrocarbon Amount Bailed <br /> j Thickness: (feet) (product/water) : --r IGallonsl <br /> Total Depth 4 5' uro Vtag ft. Volume 2" = 0. 17 3" = 0.38 4" = 0.66 <br /> Factor (VF) 6" = 1 .50 12" = 5 .80 <br /> Depth to Water 2649 b ft. <br /> qq B i <br /> D • e `L X VF O . 17 X 3 (case volume) = Estimated Purge Volume : l s loal . l <br /> Purge Disposable Bailer Sampling <br /> Equipment : Bailer Equipment : Disposable Bailer <br /> Stack '—Baiter-- <br /> uction Pressure Bailer <br /> ndfos Grab Sample <br /> Other: Other : <br /> Starting Time : q ' ri Weather Conditions : r Ire e <br /> Sampling Time : t/ - V-j :.n Water Color : c ica Odor : c- e <br /> Purging Flow Rate : 1 com . Sediment Description : 511 +d Ca � � <br /> Did well de-water? If yes ; Time : Volume : oaLl <br /> Time Volume pH Conductivity y�� Temperature D .O. ORP Alkalinity <br /> (Sal.) ymhos/cm )( OF (mg/L) (mv) (Ppm) <br /> 9 20 fit^ % 47, 22 (� 9. � <br /> LABORATORY INFORMATION <br /> SAMPLE ID lXl - CONTAINER REFRIG , PRESERV . TYPE LABORATORY ANALYSES <br /> BMW - 1 3volF Y H C I_ SEQUOIA TPH(G) /btex/mtbe <br /> / , 2qoA- 2260 Ox ' s (s <br /> COMMENTS : <br /> srs�-naa.crm� <br />