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VVti.L iviumi i Ut%iiVk31UtVCLUelVitN 1 <br />FIELD DATA SHEET <br />Client/ tos- <br />Facility Q �• Job#: <br />Oddress: i O C LL= Date: 1 6 e� <br />City: T C Sampler:Well ID — Well Condition:N�--- <br />Well Diameter 10, Hydrocarbon Amount Bailed <br />Thickness: Ft. (roduetlwated: <br />Total Depth Volume 2'm 0.17 3' - 0.38 4* = 0.66 <br />O ger (VF) 6'-1.50 12' Q 3.80 <br />Depth to Water <br />io 11+ X VF O X (a volume) s Estimated Purge Volume: ^- <br />Purge Disposable Bailer <br />Equipment: Bailer <br />tac <br />action <br />Grundfos <br />Other: <br />Sampling <br />Equipment: Disposable Baller <br />i er <br />Pressure Bailer <br />Grab Sample <br />Other: <br />tarting Time- _+ Weather Conditions: C LO to ID <br />ampling Time: + Water Color: C *—f=— Odor: <br />Purging Flow Rate: Sediment Description: I <br />Did well de -water? it yes; Time: Volume: toal.l <br />'lime <br />Volume PH Conductivity Tunpergture� <br />(Sal.)Nmhas/crn -rp/ <br />D O. ORP AlkaHnity <br />(MA) (mV) (PPM) <br />LABORATORY INFORMATION <br />.�. ...,.rr....en occoln PSIMPAV_ TYPE LABORATORY ANALYSES <br />COMMENTS: <br />f <br />