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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> cflity # E `�'�/ Joh#: /TZ) /T? <br /> _ Address: �`-?a:7 f' ` Date: <br /> City: Sampler <br /> Sampler <br /> Well ID M w�� Well Condition - <br /> Well Diameter Hydrocarbon Amount Bailed <br /> r1 Thickness (product/water)Total Depth volume 2" =0 17 3" =0-38 4" = 0 66 <br /> Factor(VF) 6'= 1-50 12"= 5 80 <br /> Depth to Water 76 <br /> Z X VF X 3 (case volume) = Esumated Purge Volume I Lau <br /> Purge <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipmentisposable Bail <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> ndfo Grab Sample <br /> ter Other <br /> Otarting Time �� �' Weather Conditions <br /> Sampling Time �� - ' Water Color 01� Odor _["U <br /> Purging Flow Rate -2 5 P Sediment Description <br /> Did well de-water? if yes, Time Volume (CAI 1 <br /> Tune volume pH Conductivity Temperature D O ORP Alkalinity <br /> (8-ai) µznhos/cmX1SD '¢F`� (MVL) (mV) (PPM) <br /> -33 y y 69--V <br /> LABORATORY INFORMATION <br /> SAMPLE ID CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> M t,/— 3 V eC s� u�a %��C- %�x H Tic_ <br /> i f L IfJ A 740 70yl <br /> .COMMENTS <br /> M7 newt+" <br />