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i <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> FacilityJob#: <br /> � <br /> Address: r0�-� �-1 f1 12J Date: � � �'- OD - <br /> City: Z- Sampler: , EL-6.3 k4- <br /> Well ID MU) - ;L Well Condition: O1 V{ <br /> Well Diameter in. Hydrocarbon Amount Bailed <br /> Thickness: { roduct/womi: <br /> Total Depth �0O volutlte Z'-0.1� s- o.3s 4• -0.66 <br /> Factor(VF) 6'- 1.50 12"—5.80 <br /> Depth to Water <br /> • c� X VF ' 1 n '" X S(case 1Okum) - Estimated Purge Volume: •2�'laal.) <br /> Purge (Disposable Bailer) Sampling <br /> Equipment: Bailer Equipment: (Disposable Bailer <br /> Stack Bailer <br /> SuctionPressure Bailer <br /> Grundfos - Grab Sample <br /> Other: Other: <br /> Starting Time: • <br /> Weather Conditions: S%AN+V Y D� - <br /> Sampling Time: I <br /> Wet er Color: . cL��� Odor- <br /> Purging Flow Rate: Sediment Description: <br /> Did well de-water? NO If yes: Time: Volume: -J21 <br /> Time Volume pHempecature D.O. ORP Ali altnity <br /> 9000 •F (tam <br /> • `r „may q� <br /> LABORATORY INFORMATION <br /> SAMPLE 10 Is)- CONTAINER REFRIG. PRESERV.TYPE ' LABORATORY ANALYSES <br /> M K1— z.. - VOA Y "(,L- SEaUOLA TPHIG)A texhntbe PNS <br /> COMMENTS: Lau C ftf r'— L A S I LAO <br />