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i <br /> WELL MONITORING/SAMPLING j <br /> FIELD DATA SHEET <br /> Client! <br /> Facility . 1 I ► q Job#: <br /> Address: 2- 22- ov <br /> I �0 S o • Q Date: <br /> City: �- Sampler: , �o <br /> Wel{ ID _ <br /> 1,(J- Well Condition: 0 <br /> -• <br /> Wel{ Diameter Z in Hydrocarbon Amount Sailed <br /> Thickness' ! (Pr�vetJtivaterl: IGallor�sl E <br /> Total Depth 3 1 0 7E <br /> YoWme T 0.17 3"-038 4' 0.66 � <br /> Fxtor(VF) E=1.50 1Z'=5.80 <br /> j <br /> Depth to Water - k <br /> l <br /> 13 -7f X vF a-17 K 3 (rase vofumc) Es-6mated Rage volume: 1 Z foal.! k <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: is osable Ba: <br /> Stack Bailer <br /> Pressure Bailer <br /> rundfos Grab Sample <br /> Other: <br /> Other: <br /> _ <br /> ` >= Starting Time: <br /> Weather Conditions: <br /> Sampling Time: f ,3oA- Water Color: ( Odor: <br /> Purging Flow Rate: <br /> m_ Sediment Description: IC <br /> if yes; Time: Volume: foal.) <br /> Did well de-water. i <br /> Conducdviry r Tempenturc D.O. <br /> Time Volume PH ORP Alk2liniry <br /> g hods -i( -F (Mg/0 (mom (QPn) <br /> (921.) `7.5� 10.6 l 'I f <br /> LABORATORY INFORMATION <br /> SAMPLE Ip (s) - CONTAINER REFRIG- PRESERV.TYPE-� L.A80RATORY ANALYSES f' <br /> qA- Y �.` LSEQUOLA7Pf1lG)/btexJrs►t4e <br /> � � / r -0 X s �26o�r <br /> COMMENTS: <br /> i <br /> is <br /> 9ni41JdSLh- <br /> j: <br />