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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> client/ v ca. <br /> Facility # a z 3 Job#: 2 <br /> _ Address: /03s4 � ,7�� Date: Z4 g- <br /> City: ___ rL2---_ Sampler: <br /> Well ID Well Condition. C - <br /> Well Diameter Z Hydrocarbon Amount Bailed <br /> Thickness (product/water) <br /> Total Depth Volume 2"=0 17 3" =038 4"= 0 66 <br /> Factor(VF) 6" = 150 12"=5 80 <br /> Depth to Water g'lZ---n- <br /> p X VF ���X 3 (case volume) - Estimated Purge Volume �[gal_1 <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment- isposable Baiter <br /> Stack a ee <br /> uction Pressure Sailer <br /> rundfos Grab Sample <br /> Other Other <br /> Starting Time Weather Conditions a&�x - <br /> Sampling Time — 't r Water Color Odor <br /> Purging Flow Rate gprrL- Sediment Description <br /> Did well de-water? If yes, Time Volume �9aL1 <br /> Time Volume PH Conductrnty Temperature D O ORP Alkalinity <br /> (Sal (m91L) (mv) (PPM) <br /> 2 (0° 6 ajr2 ES - 2- <br /> LABORATORY INFORMATION <br /> SAMPLE 10 (0) - CONTAINER REFRIG PRESERV.TYPE LABORATORY ANALYSES <br /> u - 3 vd 4 y J-}-c.1 T7't& A7Fx MTS <br /> z ✓4 9,0/ 0 <br /> SL6c) CX d?r- , <br /> ------ TU 6- <br /> COMMENTS: <br /> 9197&W-1 Nm <br />