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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ '{ <br /> Facility _TbJCZ3 � a �e �� Job#: I �O <br /> Address: Date- <br /> City: Sampler. <br /> Well ID 1 Well Condition <br /> Well Diameter Z' in Hydrocarbon Amount Bailed <br /> Thickness e-D Z> (feed iproduct/water). Gallons <br /> Total Depth `fy•- D tt Volume 2"=0 17 3" = 0 38 4'=0 66 <br /> Factor(VF) 6"= 150 12"= 5 80 <br />-Depth-to-Water- 30-4D2_ft - - - --- -- - - <br /> l q-Z,'I-- VF Q = Z•'IZX 3 (case volume) = Estimated Purge Volume al <br /> Purge Disposable Bailer Sampling <br /> Equipment. Bader Equipment: isposable Bali <br /> Stac Bai er <br /> Suction - Pressure Bader <br /> Grundfos Grab Sample <br /> Other Other: <br /> Starting Time. / 7i D Weather Conditions <br /> Sampling Time- I} � Water Color Odor: n-0 <br /> Purging Flow Rate: / gym: Sediment Description: <br /> Did well de-water? If yes; Time: Volume: faall <br /> - - - <br /> Time VolumeP.H Conduct ry TemperatureTai,n,ty <br /> Pjimnos1cm <br /> LABORATORY INFORMATION r <br /> SAMPLE 10 (#}- CONTAINER REFRIG PRESERV TYPE i LABORATORY ANALYSES - <br /> Y �Q ft Y f f C/ SEQUOIA TPH(G)/btexlmthey-(S� <br /> COMMENTS: <br /> s � <br /> s/97fi.mr.tm� <br />