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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> ritl <br /> ility # `��� Job#: IgG �3 <br /> - Address: Pa � ,4 Date* _sQz�"f <br /> City: sAG4,eE`n Sampler: z/aU26-4 <br /> Well ID H Iv,— Z Well Condition. <br /> Well Diameter 4 tn Hydrocarbon Amount Balled <br /> Total Depth 5-3 6 <br /> Thickness In (product/water) <br /> { n <br /> Volume 2" = 0 17 3" = 0.33 4" = 0 6a <br /> Depth to Water <br /> -z? 31 1, Factor(VF) 6" - 1S0 12'= 5 90 <br /> Z-f`3 0— X VF .�C 3 (case volume) = Estimated Purge Volume �c (!('Bj i <br /> Purge Disposable Bailer Sampling —� <br /> Equipment: Bailer Equipment. is osabie B <br /> Stack Bailer <br /> suctiQn Pressure Bailer <br /> Grab Sample <br /> Other Other <br /> Orting Time �� ` Weather Conditions - � - <br /> Sampling Time _ 3 Si Water Calor Odor <br /> Purging Flow Rate J 21--arm, Sediment Description <br /> Did well de-water? If yes, Time Volume -._..., (gal <br /> Time Volume PH Conductivity Temperature D O ORP Alkab=ty <br /> ymhoslan } '�Fo (m&(L) (mV) (Ppm) <br /> ' 2- 33 <br /> LABORATORY INFORMATION <br /> SAMPLE ID ( ) - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> m k;- Z- 3 J j,4 G se-74e a-CA <br /> 01OMMENTS <br /> M7 h.W.1!" <br />