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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> fent! o �o Job#: 1 S�f 4-S - <br /> 3Cility # <br /> S� �(, :I►,�or -.� Date: _�,�lo z- <br /> ddress: 4500 . <br /> r0 <br /> Sampler: <br /> ity: [� <br /> Well ID <br /> W Well Condition: <br /> leli Diameter' Hydrocarbon Amount Bailed <br /> Thickness' (productlwetar): — -- (o.u-1 <br /> gtal Depth �f' �'� Vdua�e 2' -0-17 3'- 038 4" - 0.66 <br /> Factor{VF) 6' i50 12"w 5.80 <br /> )epth to Water <br /> X VF X 3 (case volume) - Estimated Purge Volume: �paL <br /> Purge •Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Disposable Bailer <br /> Bailer <br /> Stack pressure Bailer <br /> Suction Grab Sample <br /> Grundfos Other: - - <br /> Starting Time: Weather Conditions: <br /> Sampling Time: <br /> Water Color: Odor. <br /> Sediment Descri on: <br /> Purging Flow Rate: pm. <br /> Did well de-water? If yes; Tim Volume: <br /> ConductM Temperabue D.O. ORP Alkalinity <br /> Tame Vol PH (mV) (PPM) <br /> LABORATORY INFORMATION <br /> SAMPLE)D 191- CONTAINER REFRIG. PRESERV.TYPE; LABORATORY ANALYSES <br /> COMMENTS: <br />