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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET. <br /> Client/ <br /> Facility-O' ,lob#: <br /> Address: } p vtikQ-rz Date: 3ly Z <br /> City: Sampler: cl% <br /> Well ID Well Condition: en)L./ <br /> Well Diameter In. Hydrocarbon ce, Amount Balled ' <br /> Thickness: 7_. tee {productJwaterl: <br /> Total Depth `f• Za � C.ialo <br /> Volume 2"- 0.17 ' 3"� 098 •9"r O.G6 <br /> Factor(VF) 6"= 1.50 <br /> Depth to Water �•6� tt. 12■=5.80 <br /> L/' S-3 x vFG <br /> X 3 {case volume) Estimated Purge Volume; <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: is osable Bailer <br /> Stack Bailer <br /> uctr n Pressure Bailer <br /> Grundlos - Grab Sample <br /> Other: Other: <br /> Starting Time: 3, 19 Weather Conditions: <br /> Sampling Time: -Z,3i Water Color: Odor: ' <br /> Purging Flow Rate: Ioom- -Sediment Description: L, �� <br /> Did well de-water? ��� If yes; Time: Volume: <br /> Time Volume pH Conductivity Temperature D.O. <br /> ORP .Af)calini <br /> a1.Z Umhovcm � <br /> �. S • 5 ,(o� �afs� .Z ("'F ) lmV? (PPM) . <br /> LABORATORY INFORMATION <br /> SAMPLE ID W- CONTAINER REFRIG. PRESERV. TYPE-.-:--,. LABORATORY -ANALYSES <br /> �,ar SX VOA VIAL Y INCL STL Pleasanton TM-G,B!FEX &'B Oray's 8460 <br /> COMMENTS: <br />