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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> JOb#: <br /> ty I1 14 i �'o 7 <br /> cili # - <br /> 0 o ��,-� _ 5 Date: S— o-uI <br /> _ Address: 2 <br /> t HRo P CA City: � Sampler: Jo N <br /> Well ID VV1 UU^ �O_ Well Condition: <br /> 2 <br /> Well Diameter Hydrocarbon Amount Bailed <br /> Thickness: Wroductlweter}: rgyil ti <br /> Total depth �' S �* <br /> Volume 2" = 0.I7 3" = 038 4" 3 0.66 <br /> ' r .� F2anr(VF) 6"= 1-50L'" = 5.30 <br /> Depth to Water <br /> 7 X VF C' 17 <br /> = Z X2 (case vaiume) — Estimated Purge Volume: 1 <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: pisposa_b_le Baler <br /> Stack Bai�e� <br /> IS? n Pressure Bailer <br /> Cirundfas Grab Sample <br /> Other: Other: <br /> Starting Time: _ Weather Conditions: 1-v 1!7 1 <br /> s•;{ Sampling Time: l L S'I-'" Water Calor: Odor- <br /> Purging Flow Rate: 'L Sediment Description: ��� <br /> Did well de-water? If yes; Time: Volume: 1 <br /> Time Volume pH Conductivity goQ?emprsature D O. ORP Alkalinity <br /> ( 2 ) nhas,/cm � -� (mY�-) (mom (PP'n) <br /> 1 '39 a <br /> LABORATORY INFORMATION <br /> SAMPLE ID (r1 - CONTAINER REFRIG. PRESERV.TYPE. LABORATORY ANALYSES <br /> !I -L'd0 h. Ir r f X S Z GO <br /> i <br /> I <br /> I <br /> COMMENTS: <br /> r � <br /> •n7•n.w�.Mn <br /> A' <br />