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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Facility # 0,7Job# - <br /> Address "! �1 GLGI �� 6� Date j 7 <br /> V017 <br /> City - C$? C Sampler G f 1 y� <br /> Y <br /> Well 1DWell Condition <br /> Well Diameter Hydrocarbon Amount Baited -10 <br /> Thickness us. (product/water) (gall <br /> Total Depth ft- Volumc 2" = 0 17 3" = 0 38 4" = 0 66 <br /> Factor(VF) 6" = 1 50 12" = 5 80 <br /> Depth to Water ft- <br /> X VF G,�1 = X 3 (case volume) = Estimated Purge Volume _1'" '.�taaL1 <br /> Purge -Disposable Bailer Sampling <br /> Equipment Bailer Equipment sposable BalEer <br /> 1ac <br /> t <br /> Ion Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> y <br /> 1� Weather Conditions. rli ,I ; 'GG ariing Time I ` <br /> Sampling Time 1 Water Calor _ Odor -- <br /> Purging Flow Rate �� - gpm Sediment Description - <br /> Dld well de-water? if yes, Time Volume taaL1 <br /> Time Volume PH Conduclavity Temperature DO ORP Allcaluuty <br /> (gal ) µmhos/cm ^C (Ppm) <br /> lay= <br /> 70 <br /> AL3 <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#1 CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> MV 3 x 40m/VOA HCL TPM-GasIBTEXJMTf3E <br /> Ger CSI' I 5 ry+ <br /> f-^nwl IVAI..- 7 8' <br /> OOMMENTS <br /> 9197 holdstIrm <br />