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ly • <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility# I Com ~, I '4H 0 C( _ Jobb": ) � <br /> Address. l_`x``� IV t= 1 0c,{z`�;rQ� �5� Date- -3/0 Z <br /> City- to Sampler: —_aALf 4 <br /> Well ID Well Condition: <br /> Well Diameter C In Hydrocarbon Amount Balled <br /> Thickness C�' C G fe iproduct/waterl• <br /> Total Depth �� Volumea to <br /> 2'- 017 3" = 0.38 40. <br /> Depth to Water G . ti, Factor(VF) 6"= 1.50 12'= S 80 0 66 <br /> r ` ' X VF =L_1 X 3 (case volume) � Estimated purge Volume 7.3 <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: isposable Bailer <br /> t c Bailer <br /> Suction Pressure Bailer <br /> Grundfos - Grab Sample <br /> Other. <br /> • Other. <br /> Starting Time: 0 Q 1 C% Weather Conditions- _ 6 D . <br /> Sampling Time: Water Color: Odor- <br /> Purging Flow Rater. aom Sediment Description S ' �' <br /> Did well de-water? IiP1 If yes, Time- volume: <br /> 1 <br /> Time Volume PH Conductivity Temperature D.O ORP <br /> � / .2 � ) -� � <br /> 00i ! ] e (mgfJ,.) m Alkalinity <br /> F <br /> r <br /> ( V) (ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE ID If)- CONTAINER REFRIG PRESERV. TYPE LABORATORY <br /> ANALYSES <br /> IN �- X VOA VIAL Y HCL SEQUOIA TPHiG)/btexlmtbe <br /> COMMENTS: <br /> • <br /> 81874WI"i um <br />