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VVr-LL iVIUlill i UhftV4a1UtVr-LUr1111t1'41 <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility Cc7 (�`� Job#: _ � 3 <br /> �ddress: _16 M12 C"gft I DGE III Date: <br /> City: L �'_ Sampler: _ . _&:z KI <br /> Well ID Well Condition: G,% 7 <br /> Well Diameter in, Hydrocarbon Amount Belled <br /> Thickness: Iproduct/waterl: <br /> Total Depth Volume 2'a 0.17 3'-0.33 4' 0.66 <br /> Depth to Water <br /> Factor(VF) G- 1.50 12"- 5.80 <br /> � <br /> X VF � 1&4 X (se volume) - Estimated Purge Volume- <br /> Purge Disposable'Bailer Sampling <br /> Equipment: Bail Equipment: Disposable Bailer <br /> StacU al er <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: Other: <br /> Starting Time: <br /> —.-j Weather Conditions: C <br /> &amplmg Time: . S : �Q Water Color C LOuA`� Odor: <br /> Purging Flow Rate: %. Sediment Description: S FaM'D <br /> Did well de-water? If yes; Time: Volume: <br /> Time Volume PH Conductivity Temure DO ORP Alkalinity <br /> (gy-) wnhos/cm rV (m8/L) (mv) (ppm) <br /> r� 1 <br /> 1 _ • l <br /> �-4OF 1' 3 - - <br /> LABORATORY INFORMATION <br /> SAMPLE ID 10) - CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> V0 R1 S t t= 5 V4 CL 5 i -)e /h <br /> A 'Sz - off� <br /> COMMENTS: <br /> srer-n.id.�� <br />