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VVr-L _ IViU1%11 l UKiAlwutVtLUrlWtly l <br />FIELD DATA SHEET <br />Client! (� �� � ' f 3 <br />Facility Job#: <br />C'~ �= l �-=, Date: % mb <br />Address: ` �� -• 1.^�. <br />City:r r p Sampler: }� <br />k� <br />Well ID Well Condition: F—W <br />Well Diameter Hydrocarbon Amount Bailed <br />Thickness: Ft. 1product/weterl: <br />Total Depth 20 r Volume 2" Q 0.17 3" n 0.38 4C = 0.66 <br />9224 Factor (VF) 6" _ 1.50 12" - 580 <br />Depth to Water 1 <br />ot 66 X VF O � _! X case volume! - Estimated Purge Volume: fGAU <br />Purge Disposable Bailer <br />Equipment: Bai <br />Stack5 <br />Suction <br />Grundfos <br />Other: <br />Sampling <br />Equipment:Dis ails <br />eller - <br />Pressure Bader <br />Grab Sample <br />Other: <br />Starting Time: ' : 47 __ _ Weather Conditions: C UMC Y <br />Sampling Time: _ Water Color: C L fE O'� Py _ Odor: • <br />Purging Flow Rate: —corn. Sediment Description: _51 t ...... ..._— <br />Did well de -water? If yes, Time: Volume; WWI <br />Time — Volume, pH Canductivity TernperatD O. —ORP Alkalinity--`— — - <br />I <br />+? <br />LABORATORY INFORMATION n <br />SAMPLE Ie 101 - CONTAINER - REFRIG. PRESERV. TYPE LABORATORY '• ANAL.YSEt <br />COMMENTS: <br />ere�.tiNee.erm <br />