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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ go 17 <br /> -= :,Facility # i ,lob#: <br /> I w4 .� 1 s Date: S_ d_ 511 <br /> Address: +� _ <br /> City: <br /> j -TNRo p CA Sampler: e <br /> Well 10 w— q Well Condition: <br /> Well Diameter Z Hydrocarbon Amount Bailed <br /> Total Depth 14,5-0 f, Thickness: — in- (productlweterl: [� <br /> _ Volumc 2" m 0.17 3" =038 4" — 0.66 <br /> 6 9 2- F2cmr('VF) 6' = 150 1?' = 5.30 <br /> Depth to Water <br /> 7. =_L2 <br /> ` X 3 (case volume) = Estimated Purge Volume: <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Disposable Bailer <br /> Bailer <br /> Stack <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: Other: <br /> -'� Starting Time: 1 I s> Weather Conditions: <br /> -=' jt' 2a P Water Calor: Odor: Nd- <br /> Sampling Time: <br /> Purging Flow mate: a Sediment Description: K m� <br /> Did well de-water7 if yes; Time: _ Volume: [ate <br /> Tune Volume pH Conductivity .0 Temperature D-O. ORP Alk2linity <br /> (gal-) wnhoslan)cI -P (m€(z-) (mV) (Pftn) <br /> _LA0 <br /> I4Z. 7 9. y <br /> LABORATORY INFORMATION <br /> SAMPLE ID (A) - CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> v,0� I Y 1 14 c C Se oa .� j C►16, g-T 144 1 gc <br /> vu fl r. •, • C7 X s 2 Go S <br /> COMMENTS: UIQ l� u d5 p - m If a u o 'L4 e le LvA k - <br /> fr»arw.�.r� <br /> 1 ! <br />