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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> &nt/ c�'1 e.Vr`01"1 <br /> Facility Job#: <br /> Address- L4 Z) 1CQ Date: <br /> City: f OroC Sampler: <br /> Well ID r' t Well Condition, <br /> Well Diameter jjL Hydrocarbon . Amount Bailed <br /> Thickness* (product/water): (Gallons) <br /> Total Depth 73foa <br /> Volume 2•a 0 17 3"- 0.38 4" z 0 66 <br /> �r-7 F l Factor(VF) 6" a 150 12" = 5 80 <br /> Depth to Water �J] d <br /> X VF *_4L LL "� X 3 (case volume) - Estimated Purge Volume __laai.l <br /> Purgeisposable Sailer Sampling <br /> Equipment. Equipment: Disposable Bade <br /> Stack <br /> Pressure Bader <br /> Suction SuctioGrab Sample <br /> Grundlos <br /> Other. <br /> Other• <br /> Starting Time• �4 Weather Conditions: <br /> Sampling Time Water Color. , COU l dor. <br /> Purging Flow Rate ` Sediment Description: <br /> Did well de-water? / If yes; Time: Volume: fall.) <br /> Time Volume pH Conductivity Temperature D O ORP Alkalinity <br /> � F- - (mg/L) (mV) (ppm) <br /> .�. . <br /> LABORATORY INFORMATION <br /> SAMPLE ID 19) - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> MW- VUAVIAL Y HC SEQUOIA TPHiG)/btsx/mtbe - <br /> M= <br /> COMMENTS. <br /> 9a7-e.e.anm <br />