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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ Job#: <br /> Facility # s <br /> Address: h J Date: <br /> City: ell Sampler: <br /> Well 1D '" <br /> Well Condition: v <br /> 2 Hydrocarbon Amount Bailed <br /> Wel{ Diameter o czr� <br /> Thickne (produatlwater): <br /> ss' <br /> Total Depth ` S i VOW= r- 0.17 6"•• 1.50 3'-03IZ 8 � 5.80 -0- 0.66 <br /> Factor(VF) <br /> � <br /> Depth to Water <br /> � Ind) <br /> • 4 4, X VF -^—g X 3 (case Volume) <br /> Estimated PuWa Volume: �.:�w� <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Dispo ble Baile <br /> liar r s <br /> Sucfien pressure Bailer <br /> Grab Sample <br /> Grundfos Other: <br /> Other: <br /> Starting Time. Weather Conditions: <br /> ' -r n Odor- <br /> Sampling Time: Water Color: S` l <br /> Purging Flow Rate: pm. Sediment Description: <br /> Did well de-water? <br /> $�� ,�w) If yes; Time: Volume: <br /> D.O. ORP Alkalinity <br /> Time V�; pH Tecnptratwle (mV) (PPS <br /> j�2 SD <br /> +� 1 VV <br /> LABORATORY INFORMATION <br /> SAMPLE(O (f)- CONTAINER REFRIG. PRESERV.TYpE <br /> LABORATORY ANALYSES <br /> ' } ! Z <br /> COMMENTS: <br /> ses.s.w.*.I.n <br />