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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ Ch Q.vrce �—OSr1 <br /> Facility # Job#: _ A6 Sy3 - <br /> _ <br /> Address: U9 S ��� � J` - Date: 91IL1160 <br /> City: Sampler: •a^ �,ah,� <br /> Well IDS _._ Well Condition: V` <br /> Well Diameter Z Hydrocarbon Amount Bailed � . <br /> L1Thickness: in_ (product/water): <br /> Total Depth ! b 4? Volume 2'm 0.17 3"—038 4'a 0.66 <br /> �. Factor(V� 6'- 3.50 12'—5.80 <br /> Depth to Water U 9 <br /> 1 X VF X 3 (case volume) ¢ Estimated Purge Volume: ' (gAt <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: alsl <br /> ck Bailer <br /> Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: Other: <br /> � <br /> Starting Time: Weather Conditions: nh,4 <br /> Sampling Time: _ •�- Water Color: Odor- <br /> TI?urging_Finw=Rate: __ pm. Sediment Description: <br /> Did well de-water? R d If yes; Tme: Volume: <br /> Time volume pH Conductivity Temperature D.O. ORP Alkalinity <br /> (gal.) ondw = .0 (MVL) (MV) (Ppm) <br /> 1021_ _ 9,L 2� .'t to & { <br /> LABORATORY INFORMATION <br /> SAMPLE ID tan- CONTAINER REFRIG. PRESERV.TYPE: LABORATORY ANALYSES <br /> ir lli A Tpu.6 BgFy"$, tj <br /> COMMENTS: <br /> f/9T-M1d�t,fwn <br />