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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> lient/ Tcq,,� <br /> acuity # 6 9 Job#: 1 -39 <br /> _ <br /> Address: <br /> 1�'r �czLtr�I_c �� r Date: z'� <br /> City: Sampler: <br /> Well IDyA/- Z Well Condition: C7L <br /> Well Diameter in. Hydrocarbon Amount Bailed <br /> Total Depth 2- Thickness 57--' in (product/water) fnai Y <br /> �-�� n <br /> Volume 2" = 0 17 3„= 038 V =0 66 <br /> Factor(VF) 6”= 150 12"=5 80 <br /> Depth to Water <br /> / X VF = X 3 (case volume) = Estimated Purge Volume fnal t <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Disposable Bailer <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> tarting Time z Weather Conditions <br /> Sampling Time — Water Coloror <br /> Purging Flow Rate gpm Sediment Description <br /> Did well de-water? If yes, Time /Volume - -- -- ICA I <br /> Tune Volume PH Conductivity Temperature D O ORP A1k2b=t)r <br /> (gal) pmhos/cmX/8D '¢ (ingAL) (mv) (PP-) <br /> 5 <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#)- CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> *COMMENTS <br /> fA7 MlwLlm <br />