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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> c� J S,, CZ <br /> Facility # � ` � / Job# <br /> - _ <br /> Address - q70 l 0 7 ��c! iG �� Date <br /> City _. 5IOC _ 7C"9. C/`T Sampler 1 G flys. <br /> Well ID ~� U� Well Condition G c` <br /> A 1/ <br /> Well Diameter Hydrocarbon Amount Balled , Z:�j <br /> q� z, Thickness n- {product/water} Ipau <br /> Total Depth �- Ir_ <br /> � r [7F. t.� <br /> e 2" = 0 17 3" = 0 38 4" = 0 66 <br /> I(.f (VF) 6"= 150 12" = 5 30 <br /> Depth to Water n_ <br /> X VF G11 X 3 (case volume) = Estimated Purge Volume L 7 Igal-1 <br /> Purge -Disposable Bailer Sampling <br /> Equipment Bailer Equipment Disposable B <br /> ;� <br /> ack _ al er <br /> uc ion Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> �tarting Time f Z Z Weather Condltlon C <br /> Sampling Time z Water Color rL"`� Odor <br /> Purging Flow Rate - --------- apm Sediment Description klc� <br /> Did well de-water? A,10 If yes, Time Volume rnal_1 <br /> Time Volume pl-,i Conductivity Temperature DO ORP Allmluuty <br /> (galC (mg/L) (MV) (ppm) <br /> IZZ� lZ -7,7, <br /> Zz - 2-7q <br /> �7 <br /> LABORATORY INFORMATION <br /> SAMPLE ID (N) - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> My 3 x 40m/VOA HCC TPH-Gas/BTEX/MTBE <br /> 1� u1 om (2cA- l 5 (for, 4 C& <br /> OOMMENTS <br /> 9197 I,eldai Itm <br />