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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility# } _ .fob#: <br /> Address: lex= A) = D,,Rs: / <br /> .r�0 Date- <br /> City: � `� C= ���1 C _ Sampler: <br /> Well ID Well Condition <br /> Well Diameter in, Hydrocarbon _ Amount Bailed <br /> Thickness- &` Iteetl Iproductlwater)• <br /> Total Depth �-G, f� � y no <br /> Volume 2' = 017 3"= 0 38 4'= 0 66 <br /> Depth to Water L gq, ft Factor(VF) 6'= 1.50 12'= 5 80 <br /> _ .� <br /> f 6 LL X VF 1-'�X 3 Icase volume) - Estimated Purge Volume <br /> Purge Disposable Sailer Sampling <br /> Equipment: Bailer Equipment: osable B r <br /> to Ballet <br /> Suction Pressure Bailer <br /> Grundfos - Grab Sample <br /> Other. Other: <br /> Starting Time: ._--LQ-rte Weather Conditions: <br /> Sampling Time: /0 '(—Z> Water Color. <br /> Odor: <br /> Purging Flow Rate. _ / aom. 'Sediment Description -Q <br /> Did well de-water? � If yes; Time. Volume <br /> Time Volume PN Conductivity Temperature D O, ORP Alkalinity <br /> (galx (mom,) (mV? <br /> - O (ppm) <br /> LABORATORY iNroRMATION <br /> SAMPLE la 1#) - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> X VOA VIAL Y HCL SEQUOIA , TPH(G)Ibtexlmtbe f 96- <br /> COMMENTS <br /> i <br />