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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility r6) IV .fob#: 1_��I <br /> * Address: L9 d f `Tz erriyy+ R4 . Date: 1 _3i <br /> City- f Sampler: lvlr x <br /> jF <br /> Well ID MiW'`I Well Condition- <br /> Well Diameter Z in Hydrocarbon Amount Bailed <br /> Thickness tl (product/water}' aft ns <br /> Total Depth 4 S 1 Volume 2"=0 17 3" = 038 4"=0 66 <br /> Factor(VF) 6" = 150 12"= 5 80 <br /> Depth to Water Z _ft. <br /> X Vr- A• 4:- —X 3 icase volume} = Estimated Purge Volume D Mal f <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: s os%�Baile <br /> Stac Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: Other. <br /> Starting Time. Z;O 3! Weather Conditions PXa_ - <br /> Sampling Time- Zi L S" Water Color Odor: Ae-Z <br /> Purging Flow Rate: I corn. Sediment Description: <br /> Did well de-watery If yes, Time: Volume- {oaI 1 <br /> i <br /> Time Volume qpH Conductivity Temperature DO ORP Alkaluuty <br /> `L" (1 T 40 mm <br /> j ?,/9 _ 9 7- V—_hos/cm F (i"'Y�) (mom (ppm) <br /> 4 q- -Z <br /> LABORATORY INFORMATION <br /> SAMPLE ID f/11 - CONTAINER REFRIG PRESERV TYPE i LABORATORY ANALYSES r <br /> r <br /> �Y VD Y SEQUOIA TPH(G)/btexlmtbe♦(5) Y <br /> t <br /> a <br /> COMMENTS. <br /> s _ <br />