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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> rllity # 612y/ Job#: IgZ) 13 <br /> _ Address: 2-7r✓2 lR C 'R ` Date: 2e- � <br /> City: Sampler- ✓ kv� <br /> Well ID Well Condition _ erk <br /> Well Diameter �' - -- 1� Hydrocarbon Amount Balled <br /> Total Depth 6 <br /> Thickness � �R- (productlweter) <br /> �� 3 fr Volume 2" = 0 17 3'= 038 4" = 0 66 <br /> Depth to Water w <br /> Z /gam_ Facmr(VF) 6" = 1-50 12"= 5 90 <br /> L �• X VF �} --!L—VX 3 (case volume) = Estimated Purge Volume ? 91gai] <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment isposable Sale <br /> Stack Sai er <br /> Suction Pressure Bader <br /> run o Grab Sample <br /> Other Other <br /> *arting Time 0, 2 G' Weather Conditions <br /> Sampling Time t E Water Color Odor <br /> Purging Flow Rate _ Z--grim. Sediment Description <br /> Did well de-water? If yes, Time Volume 1 <br /> Tine Volume PH Canductivity Temperature D O ORP Alkaluuty <br /> famhosfanWZD -¢/0=0 (mg/L) (mv) (PPM) <br /> v ' i 3 _ i1c_ y•`3 ' <br /> LABORATORY INFORMATION <br /> SAMPLE 10 ( } - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> A� t✓— 3 d�,4 TFX H <br /> OOMMENTS <br />