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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client! <br /> Facility Job#: �O <br /> # C— h�� ��``� <br />� <br /> Address: � � S _ C_�.-���-� S"r , Date: <br /> _ <br /> City: <br /> Sampler: <br /> Well 1D <br /> rn W Well Condition: <br /> Well Diameter Hydrocarbon Amount Sailed <br /> G�y Thickness: '9 IProduetlwater}; 1-1 <br /> Total Depth qO -Ir T Volunw 2"- 0.17 3' -038 it 0.66 <br /> Factor(VF) 60- 150 - 12" 5.80 <br /> Depth to Watertt <br /> • X VF X 3 (case volume) Estimated Purge Volume: .SZ�1pal.l <br /> Purge +sosa Ila Sampling <br /> Equipment: Bailer Equipment: �snosable Bailer <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: Other. <br /> Starting Time: Weather Conditions: <br /> Sampling Time: ` t-ol Water Color: Odor- Aa0 <br />^Purling Flow:Rate: <br /> Sediment-Description:-- <br /> Did <br /> ediment-Description:Did well de-water? /J If yes; Time: - Volume: - +��+ <br /> Time Volume pH conductivity T ture � � � <br /> 3. o .Z,p. G .�. <br /> zom 0— <br /> CJf.L <br /> LABORATORY INFORMX-noN <br /> SAMPLE 10 (f)• CONTAINER REFRIG. PRESIEFIV.TYPE; LABORATORY ANALYSES <br /> s1Auv•-� �O x VVA v+AL- Nc.t. Lancaster T04 8 M Ic .1 Mt8 <br /> Z ?c 14iN /�f -/No <br /> COMMENTS: <br /> aet�.ww� <br />