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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility_-0'_ ,... A <' I c`����� Job#: � 3 <br /> Date: t% d z. <br /> City: Sampler: <br /> Well ID _ry)Q S Well Condition. t5-P\- <br /> Well Diameter _ ,.,,,. ttr Hydrocarbon Amount Balled <br /> Thickness• 6, C-E> Ileetl Iproductlweter); <br /> Total Depth Z Z Ila <br /> Volume 2'C 0 17 3"- 0.38 4'- 0 66 <br /> Depth to Water /1• <br /> Factor(VF) 6'- 1.50 12'- 5 80 <br /> _ �� n. <br /> X VF =_�OX 3 Icase volume) c Estimated Purge Volume. _ 4031.11 <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Isposnble Bailer <br /> Stack al ITr <br /> u Io Pressure Bailer <br /> Grundios - Grab Sample <br /> Other: Other- <br /> �ter-tong Time: o Weather Conditions: U Sys rca� <br /> Sampling Time: _ /y Water Color: -� Odor:�I <br /> �r�. � <br /> Purging Flow Rate. r / Qom. -Sediment Description ` 1t <br /> Did well de-water? If yes; Time: Volume: <br /> Time Volume PH Conductivity Temperature D O ORP Alkalinity. <br /> (mg/L) (mom (PPM) <br /> -- <br /> T <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#I- CONTAINER REFRIG PRESERV. TYPE LABORATORY ANALYSES <br /> •- S X VOA VIAL Y HCL SEQUOIA.. TPHIO/btexlmtbe Q <br /> %b�e_> <br /> OMMENTS: <br /> 9187-r.iast trm <br />