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WELL MONITORING/SAMPLING <br />FIELD DATA SHEET <br />Client! X I Jobi#: Q - <br />Facility * <br />Address: kA,C C P T Date: — - <br />- <br />city: L r <br />Sampler: <br />WON lD "" Well Condition:12 �- <br />Well Diameter a� Hydrocarbon Amount Bailed <br />Thickness: (productlwater): <br />Total Depthtf $1 Ycbme r - 0.17 w - ose C - o.G <br />Factor (VF) <br />-iso it — s.so <br />Depth to Watbr 1 <br />i X VF ._IffX 3 (case volume) - Estimated Purge Volume: #' SL_ <br />pure Disposable Baiter Sampling <br />Equipment: er Equipment: Disposable Hailer <br />Stack or <br />Suction Pressure Bailer <br />Grab Sampta <br />Grundfos <br />Other: Other: <br />Starting Time: i 2.1 Weather Conditions: - C_ <br />l� l� • <br />Samptinfl Time. _ <br />Water Color: Odor <br />Purging Flow-Rate: <br />_ Sednt imeDescriptidn: -- <br />- elf yes; Tme:� Volume: T <br />Did well deirvater7 __— ._ <br />- T L volume =piI Tan - D.O: - - -ORP = _A8ud1nUy <br />(mom (PFat) <br />T �t4;- U <br />'3 -- --- -�" ---- <br />. <br />LABORATORY INFORMATION <br />LABORATORY ANALYSES <br />SAMPLE la (0) - CONTAINER REFRIG. PRESERV. TYPE �p <br />10 <br />is VDA JlAk� Y �-�- u t ~18MTd <br />a-.� <br />COMMENTS: <br />rors,a.�+M.i+�w <br />