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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility# ��. �-s�_ Q l _— Job#: �� 3 <br /> Address* 1C� C ��`�' ���-� Date: _� - ,1/0 L- _ <br /> City. 14:k Sampler: rfcLA.- <br /> Well ID Wetl Condition: _ _U-A- <br /> Well Diameter _ !.n• Hydrocarbon Amount Bailed <br /> Thickness U , U !� 1e iproductmaiew <br /> Total Depth Z� � � n. ail° <br /> niti <br /> Volumt 2' = 0 17 3" - 0.38 <br /> �L Factor(VF) 6" = 1.50 4 = 0 65 <br /> Depth to Water � n. 12"� 5 BO <br /> . S x VF a r Z-s v <br /> 3 {case volume) = Estimated Purge Volume. <br /> Purge Disposable Sailer Sampling <br /> Equipment: Bailer Equipment: Dispotable Bailed <br /> Stack Bailer <br /> Sucti Pressure Bailer <br /> Grundtos - Grab Sample <br /> Other: Other: <br /> Starting Time: Weather Conditions: e�� <br /> Sampling Time: _ Water Color: d - Odor:— f <br /> Purging Flow Rate' I aorn. Sediment Description: -f <br /> Did well de-water? _ r-0 It yes; Time: Volume: <br /> Time Volume PH Conductmty Temperature D.O ORP Alkalinity <br /> �Q 2111— -7 <br /> 1)1— �I w (inF�-) (m� (Ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE ID J#)- CONTAINER REFRIG PRESERV. TYPE LABORATORY ANALYSES <br /> k3 -- q X VOA VIAL Y HCL SEQUOIA TPHIG)Anexlmtbe C e <br /> COMMENTS: <br /> 8197-fNidot frm <br />