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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ G�r�O�-'Pl <br /> Facility # 9! 3 Job#: <br />'Address: I63 Date: <br /> . City; Sampler:Well ID Well Condition. <br /> Well Diameter Hydrocarbon Amount Bailed <br /> Thickness (product/water) (gal I <br /> Total Depth ?.�'`f btr <br /> Volume 2" - 0.17 3" - 038 4" - 0 66 <br /> Factor(VF) 6"- 1.50 12"= 5 80 <br /> Depth to Water <br /> 1t• Z Z X VF X 3 (case volume) a Estimated Purge Volume: .5 <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: isposable er <br /> Stack Bader <br /> ilzuCti n Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> aStarting Time ti- a Weather Conditions L&es. — <br /> Sampling Time I Z'+ Water Color Odor.1! <br /> Purging Flow Rate gprn- Sediment Description <br /> Did well de-water? _ 04) If yes, Time Volume <br /> Time Volume pH Conductmty Tc rnperature D O ORP AIk2limty <br /> (92L) Aans/cmyw (mg/w (MV) (PPM) <br /> LABORATORY INFORMATION <br /> SAMPLE 10 (1]- CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> rfiw4aBTF1� �aT1tE <br /> Z II'4 -c `` `� Bid(6 <br /> 'Z Ir -ct t I <br /> bpe 1, r <br /> COMMENTS: <br /> �/�7.q�Wf.fwe <br />