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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> .Facility _`-u D L L 61 R t Jona#: f o 3 <br /> Address: ly'707 'A C;E, ,4v Date: <br /> t <br /> City: cK Sampler- STE Av <br /> Weil I❑ VW °Z Well Condition- O K <br /> Well Diameter m Hydrocarbon Amount Balled <br /> Thickness- ifee (Rroducuwater) ►Gallons <br /> Total Depth 5-0 Volume 2- = 0.17 3" = 038 a' 0 6o <br /> Fa=r(VF7 6' = 1.50 12" =5 80 <br /> Depth to Water <br /> X VF X 3 (case volume! = Estimated Purge Volume iaai 1 <br /> Purge Disposable Bader Sampling <br /> Equipment: Bailer Equipment Disposable Sailer <br /> Stacie Bailer <br /> Suction pressure Saile- <br /> Grundfos Grao Sample <br /> Otf�e�- Other <br /> Starting Time Weather Conamons <br /> Sampling Time Water Color Odor <br /> "urging Flow mate cnm_ Sediment Desc:iorion <br /> Did well ae-water? If yes, Time Volume I ' <br /> Time Volume PH Conduciviry Temoerature D O ORP Alkaluuty <br /> (gal) umhov= er (MgfL) (mV) (Ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE ID CONTAINER REFRIG PRESERV TYPE , LABORATORY ANALYSES <br /> Y I SEQUOIA I T PH(G)/b9xtmtbe <br /> I I I I <br /> I I I 4 <br /> D % A_ MPt✓�� C IT � � <br /> 9197 rianat doe <br />