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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client) C11e-vt,o <br /> Facility r Job#: .� <br /> Address: L4 3 y loo Date: <br /> City: <br /> Sampler: '"' <br /> Well ID W --• Well Condition: <br /> Well Diameter Hydrocarbon Amount Bailed - <br /> Thickness: itag ( roductlwetw): <br /> Total Depth Volume r-0.17 3'-0.38 4" -066 <br /> Factor(VF) 6' 1.50 12"a 5.80 <br /> Depth to Water 5A ` $ <br /> j (9 -70 X VF � 3 X 3(case volume) - Estimated Purge Volume: .�f Icai.I <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: ( Disposable Bailer) <br /> (Stack) Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: y Other: <br /> Starting Time: 15'. a3 Weather Conditions: <br /> Sampling Time: Ca. ! Water Color: C is _ Odor: �U <br /> - ;Purging FlowRate• S Sediment-Description:-- _-- <br /> • MVolume: _, raaLl <br /> --Did-well de-water?— - - v ff yes: Time: --— ---- -- -- - - �- <br /> - - nr, _` Vcolluume=�--=-�=-----=- �tooTem�� `-- -_ D.O. -- ORP � ( � -- --- -= <br /> s: Sa 3. d (3?-- _ io1c� • � <br /> _ 5 � � <br /> -.----- <br /> LABORATORY INFORMATION <br /> SAMPLE ID 40)- CONTAINER REFRIQ. PREsERV.TYPE LABORATORY ANALYSES <br /> MW- VOAV I Al. Y SEQUOIA TPH4011btexhntbe <br /> 0Y.A.4 s 10 b <br /> M t'T"I V 6 t ate <br /> jr <br /> COMMENTS: <br /> say <br />