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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ r St-0 <br /> Facility PI 2�S Job#: <br /> Address: 2Z8 3 e. �� • „ — Date: z l C9,S <br /> City: Sampler: L4&:-I it94 <br /> Well ID U- "r Well Condition: � - <br /> Well Diameter 3in. Hydrocarbon Amount Bailed <br /> Thickness: fee (product/water): jQallons <br /> Total DepthU <br /> EF"Ituom, <br /> e 2" =0.17 3"=0.38 4"=0.66 <br /> Depth to Water �� <br /> (VF) 6"= 1.50 12"=5.80 <br /> _ _ -, � ft. <br /> X VF — X 3 (case volume) = Estimated Purge Volume: laal.) <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Disposable Bailer <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: Other: <br /> Starting Time: Weather Conditions: <br /> Sampling Time: Water Color: Odor: <br /> Purging Flow Rate: ` aom. Sediment Description: <br /> i <br /> Did well de-water? If yes; Time: olume: (gal.) <br /> Tune Volume pH Conductivity Temperature D.O. ORP Alkalinity <br /> umhos,/c%n)(/00 °F (mg/L) (mV) (Ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE ID (111- CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> e <br /> COMMENTS: H r <br />