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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET i <br /> Client/ C�e-vr C n �� g <br /> Facilityo Job#: <br /> Address: S 'r - Date: <br /> City: 7' Sampler: �3 r�'a �'� --• <br /> F- <br /> -- <br /> Well ID —3 Well Condition: <br /> h <br /> Well Diameter Hydrocarbon Amount Bailed <br /> I <br /> Thickness' (product/waterl: <br /> Total Depth Vohanne 2' 0.17 S'-038 4'-0.66 <br /> Factor(VF) 6's 130 12" 5.60 <br /> Depth to Water `�� s <br /> 12, X VF•� ` � L, X 3(case valume) Estimated Purge Volume:: foal.) <br /> Purge Disposable Sailer Sampling <br /> E <br /> Equipment: Bailer Equipment: is osa=Baileqr <br /> . • <br /> Suction :, Pressure Bailer <br /> Grab Sample ' <br /> Other: s Other: <br /> Starting Time: . 1 U. ( Weather Conditions: S ^ . <br /> Sampling Time: <br /> U_ Water Color: 1ZLQ Odor:. 6 <br /> Purging Flow Rate: ' Sediment Description: <br /> i <br /> Did well de-water? �' If yes; Time: Volume: <br /> E - <br /> Conducdvlty Temperature D.O. ORP Alkalbdtp <br /> Time Volume pH (z*,) (mom (PPM)r �1., <br /> i <br /> LABORATORY INFORMATION <br /> SAMPLE ID lel- G ONTMNER REFPJG- PRESERV.TYPE LABORATORY ANALYSES <br /> Mid- VOAV 1 AL Y SEQUOIA TPN{Qilbtex►mtbe <br /> A9 tt <br /> COMMENTS: <br /> W974Wk JM <br />