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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility IV 1 I t q Jab#: <br /> Address: I G�O o So . 1�+Q r stale 5- Date: 2- 2 z— 0 0 <br /> City: Sampler: _ �o e <br /> Well�ID mw- to Well Condition: ' <br /> Well Diameter 2.n. Hydrocarbon Amount Bailed <br /> Thickness' 1prody dialed' (Gallons) <br /> Total Depth !S+g Vollum r r 0.17 7-038 4'-0.66 <br /> Fsaor CM 6 .130 Lr-5.80 <br /> Depth to Water <br /> X VF B•f � ''�I X3(rase.volumel Estimated Purge Volume: fog-),. <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment is usable Ba <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> i <br /> Other: Other: <br /> Starting Time: Weather Conditions: Eur F' <br /> Sampling Time: S "^ Water Calor: Odor:_ vI .2..r <br /> Purging Flow Rate: m Sediment Description_ A c' _ <br /> i <br /> Did well de-water? if yes; Time: Volume: raal•} <br /> I <br /> I <br /> Time Volume pH Conducavicy I 669•Icmp=am= D.O. ORP Alkalinity i <br /> (821.) o ani -F (mgfL) (mV) (PP-) <br /> _ I <br /> i <br /> LABORATORY INFORMATION <br /> SAMPLE ID Ixl_ CONTAINER REFRIG. PRESEAV.TYPE LABORATORY ANALYSES <br /> YVI UP f fi O 3 Y D Y H C �- SEQUOIA TPli(G)/btex1mtbe i <br /> II <br /> COMMENTS: <br />