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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Cllentl It Qv o 1 3 <br /> Facility un�(�t n _� Y I ,lob#: <br /> ro-�r '�irfi�].c r�- <br /> Address. ..,�f �o -gciDate: �n.,� <br /> Ab <br /> City: Sampier• <br /> Well ID Lu _ j Well Condition <br /> a <br /> Well Diameter Hydrocarbon Amount Balled <br /> Thickness- (feet laroductlwaterl- iGallons <br /> Total Depth • �� Volume 2' = 0 17 3' = 038 4" = 0 00 <br /> Faczor(VF) 5" = 1S0 12' = 5 80 <br /> Depth to Water +' <br /> 3 Q X VF _� 3� 3 [case volumO - Estimated Purge Volume al <br /> Purge Disposable Batter Sampling <br /> Equipment. Bailer Equipment. osabie �ail <br /> ® Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grac Sample <br /> Othe- Otner <br /> St:arttng Time 3 Weather Canattions S UN ° Ifi <br /> Sampting Time- 13O �`{ Water Color C Odor- <br /> °urging Fiow Rate ('s Seciment Description <br /> Did well ae-watery If yes, Time Volume <br /> Time Volume PH Conducuv-mv Tempe.-aturer DO ORP Alk-almiry <br /> Ecmha czn -7 �F (mvfL) (mV) (Porn) <br /> . a <br /> _U _ <br /> LABORATORY INFORMATION <br /> SAMPLE ID i&.1 - CONTAINER RE=RIG PRESERV TYPE LABORATORY ANALYSES <br /> v0Ar Y SEMOIA TP4'llGi1btexlmtbe <br /> 4 <br /> COMMENTS <br /> 907 119ioat Ir+„ <br />