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WELL MONITORINGISAMPLING <br /> r <br /> FIELD DATA SHEET <br /> Facility <br /> 7# ,fob# <br /> Address _ l ��0 1G �� Date 7 <br /> City Sampler G h yub _ <br /> Well 1D mto -Y U) Well Condition CL C <br /> x �I <br /> Well Diameter / Hydrocarbon �� Amount Railed <br /> j[� f Thickness - -- im IproductlwateO <br /> Total Depth _ 7 ! ft_ Volume 2" =0 17 3" = 0 38 4" = 0 66 <br /> �� T` Factor(VF) 6" = 150 12" = 5 80 <br /> Depth to Water T n- <br /> �) r <br /> X VF 1 =� X 3 (case volume) = Estimated Purge Volume 'S {ga1.1 <br /> Purge Disposable Bailer Sampling <br /> Equipment Bailer Equipment isposable Bari <br /> Stack - <br /> Suction Pressure Bailer <br /> ndfos Grab Sample <br /> er Other <br /> �tarting Time �2 '`3 Weather Conditions <br /> Sampling Time c�z-��- Water Color C 60 a _ Odor _ AICA <br /> Purging Flow Hate [ 1 Z' �Izin- Sediment Description <br /> Did well de-water? A If yes, Time Volume +dam-1 <br /> Time Volume pH Conductivity Tcmperatum D O OAP Alkaluuty <br /> (Sal) µn-hos/cm oC (mgfl) (mV) (PPM) <br /> 12.�U -3_ $ atJ i � � <br /> LABORATORY INFORMATION <br /> SAMPLE ID INl - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> MV 3 x 40m/VOA HCL TPH-Gas/BTEXIMTBE <br /> til_i xJyam CA- ! 5 rn <br /> .COMMENTS r <br /> 9197 f cidat irm <br />