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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET - <br /> Client/ <br /> Facility I I t g 5 Job#: r <br /> Address: I �oSoo So . 1��Qrs�� �_� Date: <br /> City: Sampler: 75" e- <br /> Well ID d Uy- Well Condition: 0 , - <br /> Well Diameter 2 in, Hydrocarbon Amount Sailed <br /> .o <br /> Thickness: ._ tl'eeti Sp'od,=f.ated- cellons <br /> Total Depth l Volume T=o_v 3"-038 4'=0-66 <br /> Fact"(W) 6*-130 Ir=5.80 <br /> Depth to Water <br /> v X VF B•! :[ X 3(case volume! — Estimated Purge Volume: 4- lQal_1 <br /> ='=`.. <br /> Purge isposableS` ler Sampling <br /> Equipment- er Equipment: is osable Sai <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: _ Other: <br /> Starting Time: r•3� Weather Conditions: Cd -', <br /> Sampling Time: , <br /> Water Color: l Odor. LA 0 c- <br /> Purging Flow mate: �. m_ Sediment Description: _ Aorl <br /> Did well de-water? If yes; Time: �, Volume: l �� <br /> Time Volume PH Conductivity J�IO'T'emper'ature D_O. ORP AFk2 iniry <br /> I <br /> i <br /> i <br /> LABORATORY INFORMATION <br /> SAMPLE IQ lel- CONTAINER REFRIG. PRESEAV.TYPE % LABORATORY ANALYSES <br /> .� a Y H [ SEQUOIA T"G)Ibtexlmtbe <br /> YAW- <br /> rLVo� �► / i / � x <br /> COMMENTS: <br /> �s7�.yasm+ <br />