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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ u�O clef <br /> Facility #0/23 - Job#: 2Seo <br /> Address: !B 3-� Date: Z <br /> City: T. ra. S-f;4 Sampler: <br /> Well ID �� y Well Condition: <br /> Well Diameter « Hydrocarbon Amount Bailed <br /> Thickness: (Productlwated. <br /> Total Depth _ 1 ft <br /> vol,;*:+ 2.1- 0.17 3• y 0s8 4* o.66 <br /> Depth to Water <br /> 9 ) v n Factor(VF) 6' 1.50 12' =5 80 <br /> 5-2 'k�X VF 8 W X 3 (case volume) — Estimated Purge Volume: <br /> `f.�l <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bader Equipment: �sposable B er <br /> Stack Bader <br /> ucti n Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> Starling Time - 3 y Weather Conditions <br /> Sampling Time c4 Water Color _ .— Odor. r-e2 <br /> Purging Flow Rate opm Sediment Description <br /> Did well de-water? if yes, Time Volume. <br /> Time Volume pH Conductimty Temperature D.O. ORP Alkalituty <br /> �) pmhosjcmyW -,OFt" (mg/L) (MV) (PPM) <br /> LABORATORY 1NFORMATlON <br /> SAMPLE ID (1)- CONTAINER REFRIG PRESERV.TYPE LABORATORY ANALYSES <br /> -i <br /> Ird A So 1 O <br /> I 77t <br /> COMMENTS: <br />