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t, <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Ste, cZ <br /> Facility # �/J Job# � ' <br /> Address `� [� 7 G ^ 6� Date j <br /> City47C`? Sampler <br /> 1 f! kL& <br /> Well 1D � .� 1]k) Well Condition <br /> o it <br /> Well Diameter Hydrocarbon Amount Balled <br /> ?0G Thickness {product/water) rg,al_} <br /> Total Depth J - -- -_fi_ <br /> Yolumc 2" = 0A7 3" = 038 4" = 066 <br /> 3 0 Factor(VF) 6" = 1 50 12" = 5 90 <br /> Depth to Water 1 <br /> X VF X 3 (case volume) = Estimated Purge Volume (gal.) <br /> Purge Disposable Bailer Sampling <br /> Equipment Bailer Equipmentr�osable Bailer <br /> Stack tier <br /> Suction Pressure Bailer <br /> ndfos Grab Sample <br /> 0-ther Other <br /> Otarting Time 51 Lr Weather Conditi ns <br /> Sampling Time Water Color C Odor <br /> Purging Flow Rate .-y --- gp,xti,. Sediment Description <br /> Alam <br /> Did well de-water") If yes, Time Volume foal-I <br /> Time Volume PH Condui:Uvnty Tempcmturc D O ORA' AIIcsluuty <br /> (gal) ymhos/cm C (ang(L) (Inv) (ppm) <br /> s <br /> 36 <br /> T � j^ of q �U! <br /> 13 J Z,r ' <br /> LABORATORY INFORMATION <br /> SAMPLE 10 (Jif CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> My 3 x 40m1VOA HCL TPH Gas/BTEX/MTBE <br /> q f yam cA- 4 Cyr <br /> WOMMENTS <br /> 9197 lieidat hm <br />