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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ Che-vr 0 n <br /> Facillty# - Job#: - — <br /> � <br /> Address: q y 1Date: - — <br /> City: QM c1L Gam- Sampler: Tr t o.. G►4u <br /> Well ID Well Condition: 0i< <br /> Well Diameter Hydrocarbon Amount Bailed <br /> Thickness: ! Iproduct/wated: <br /> Total Depth Volume 2"- 0 17 3"-0.38 4" =066 <br /> Factor(VF) 6"- 1-50 12" - S SO <br /> Depth to Water <br /> X VF a Z•4 X 3 (case volume) a Estimated Purge Volume: • Z <br /> Purge isposable Bei Sampling <br /> Equipment: Equipment: vailir ��� <br /> Stack <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: Other: <br /> Starting Time: 7 :17--- Weather Conditions: <br /> Sampling Time: Water Color: Odor• MO <br /> Purging Flow Rate: Sediment Description: -.1111,4 <br /> Did well de-water? If yes; Time: Volume: <br /> Time Volume PH Conductivity Temperature D.U. ORP Alkalinity <br /> X.4.4, (m&Z) (MV) (PPM) <br /> yzy <br /> LABORATORY INFORMATION <br /> SAMPLE ID 1#)- CONTAINER REFRIG PRESERV.TYPE LABORATORY ANALYSES <br /> MW- Y VOAV I AL YMCL SEQUOIA TPH(G)/btaWndbe <br /> �Y D <br /> M C�f,.r►e� 1r'JO P+n�� <br /> COMMENTS: <br /> SW4W 1@U- <br />