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41 �> <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ u,7,o,-- Q <br /> Facility # Job#: on <br /> _ Address: 1 d 3 5L - ra,l� A& - Date. <br /> City: _, _ T-r-n z-N Sampler: . ✓a -2 V--1-T <br /> Well ID Well Condition. <br /> Well Diameter Z in Hydrocarbon Amount Balled <br /> Thickness (product/water) <br /> Total Depth iJ x Volume 2"- 0 17 3"= 0.38 V = 0 66 <br /> Depth to Water <br /> s:r Factor(VF) 6"= 1-50 12" =5 80 <br /> g- X VF = 1 39 X 3 (case volume) = Estimated Purge Volume 414 (CMI ) <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: tsposable Bailer <br /> Stack Bailer <br /> uction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time -L T Weather Conditions <br /> Sampling Time I1 qz Water Color _ e*1 -&n -- Odor A.J1::) <br /> Purging Flow Rate grL Sediment Description <br /> Did well de-water? &D _ If yes, Time Volume (CAI I <br /> Tune Volume PH Conductrvity Temperatu D O ORP Alkaluuty <br /> (gal ` (rng/L) (mV) (PPT) <br /> 'o- <br /> 3 <br /> 3 t 6 3 6-?-•-! <br /> LABORATORY INFORMATION <br /> SAMPLE IO {p) - CONTAINER REFRIG. PRESERV TYPE LABORATORY ANALYSES <br /> cI� 3 3 ry A y y-G� sem-jug-tom.. rt�ib �l`�c�HTg <br /> •� , , TpG <br /> C61b1#EiVTS: <br /> r * r �IQSTlG I r 7T�V2 - ! I S1'JG ILS <br /> 9197 Il�ld�i!rm <br />