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WELL <br /> MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ Jobb: <br /> Facility <br /> .L s Date: <br /> Address: L,jq <br /> ' - Sampler: <br /> City: ry <br /> y <br /> Well 1D Well Condition: ok" <br /> 2 Hydrocarbon Amount Bailed <br /> Well Diameter c`1 , cQ� 1productlwaterl: ftadl <br /> 'thickness' <br /> Z 5�% 2•-0.17 3'1U38 4' 0.66 <br /> Total Depth Vdume 61- 1.50 <br /> 150 12'- 5.80 <br /> Factor(VE) <br /> Depth to Water <br /> s <br /> X VFX' �2 X 3 (case volume) _ Estimated Purge Volume: <br /> Disposable Bad <br /> sampling <br /> Equipment: osable gaile <br /> Equipment: er Bailer <br /> Stack pressure Bailer <br /> Suction Grab Sample <br /> Grundfos Other: <br /> Other. <br /> Odor- <br /> sampling <br /> ie-� ,r <br /> Time: Weather Conditions: <br /> Starting ./ <br /> SamplirtQ Time: S Water Color, � — <br /> !v►i <br /> • Sediment Description: <br /> Purging Flow Rate. <br /> Did well de-water? •, <br /> H yes: Time: Volume: <br /> D.O. ORP A1lmlinW <br /> Time VOW PHCandt-twW T (�S�) (mV) (PPIR) <br /> 6 G Z I Z p.S71 <br /> �l <br /> LABOR ATORY INFORMATION <br /> REFRIG. PRESERV.TYPE: <br /> LABORATORY ANALYSES <br /> SAMPLE ID (Pl- CONTAINER <br /> 1-1 t J- - S- x V pq .r,a>` "C-4. 5,!;2 yoi <br /> G� �t�►zAC. u`t�� 8 , <br /> COMMENTS: <br />