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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET • <br /> Client/ Cb e yr O r l <br /> Facility-;!p - Job#: - - <br /> L1 'z.s--moi •- <br /> Address: Date: .-_ _ <br /> City: r•�-0. C Sampler. <br /> Well ID A/!,U-/< Well Condition- �• ` <br /> Well Diameter ���.n, Hydrocarbon Amount Bailed <br /> 1--f. (os- Thickness: f (product/water): <br /> Total Depth Volume 2"-0 17 3" d 0.38 4' -0 66 <br /> ` r�R Factor(VF) 6"- 1.54 12"- 5 80 <br /> Depth to Water (0 J 1!1 <br /> X VF -~[ r X 3 icase volume/ - Estimated Purge Volume: 5- <br /> Purge <br /> Purge disposable Ba Sampling <br /> Equipment: Baf er Equipment: sable Bai <br /> • Bader <br /> Stackk <br /> Suction Pressure Bailer <br /> SuctionGrab Sample <br /> Grundfos Other: <br /> Other: <br /> 0 C-11 <br /> Starting Time: /I- - I Weather Conditions: <br /> Sampling Time: Water color.• Odor: <br /> Purging Flow Rate: Sediment Description: <br /> Did well de-water? It yes; Time: Volume: <br /> Time Volume pH Conductivity Temperature D.O. ORP A1kaUnity <br /> µmhosF/rm " (m8/L) (mV) (Ppm) <br /> G <br /> r g <br /> L02, ~" Z 5- <br /> LABORATORY INFORMATION <br /> SAMPLE IO (ill - CONTAINER REFRIG PRESERV.TYPE LABORATORY ANALYSES <br /> MW- VOAV I AL Y —HCL SEQUOIA TPNIGUbtoximt6e <br /> }` t Tri ii <br /> COMMENTS: <br /> nntt.ti Wxt hm <br />