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k <br /> n <br /> WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ E/n.9cea <br /> OFacility # /z Job#: z say } <br /> Address: CD3` 7r Date: z 8 <br /> City: Tr Sampler: vim 174 <br /> Well ID Z Well Condition. <br /> Well Diameter Hydrocarbon Amount Bailed <br /> Thickness (product/water) <br /> Total Depth 6 ft. <br /> Volume 2"— 0 17 3" =038 =A 4" = 066 <br /> Depth to Water <br /> Factor(VF) 6"— 1S0 12"= 5 80 <br /> � `� h- <br /> I X VF = 1 T X 3 (case volume) = Estimated Purge Volume -� rRAI I <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bader Equipment. Disposable Bail <br /> Stack_. ai e <br /> uc Pressure Bader <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time Weather Conditions- 6&41 <br /> Sampiing Time Z f Z Water Color Odor <br /> Purging Flow Rate epm- Sediment Description <br /> Did well de-water? _ If yes, Time Volume <br /> Time Volume pH Conduct4vity Temperature D O ORP Alkadiuuty <br /> (gal pmhoskrm)Q4� (m8/1L) (mV) (Ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE 14 0)- CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> u- 2 3 v'v q rP#Cs 5_rf,( M T,zL' <br /> z_ I&A t, --� �a► o <br /> z fa /�- Y gtbn agcy CD--P- <br /> 7 40 <br /> am.TO G- <br /> COMMENTS. <br /> J0 634;c-- -c i S — <br /> W97 M1441 fm+ <br />