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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility # 3?- �- Job#: 3$L�tL3 <br /> Address: —5j6p L. Sim 0-n Date: o <br /> . City: STOW TDO G4 Sampler: l`'R�►�k- "�` - _ - <br /> Well ID Well Condition: ._ d`V— <br /> — <br /> Weil Diameter Hydrocarbon �* Amount Bailed <br /> Thickness: (Productlwator): <br /> Total Depth •4IL voiwzm 2'R 0.17 3'— 038 'r 0.66 <br /> Factor(VF) 6"- 1-50 IV-5.80 <br /> Depth to Water <br /> L �Q X VF �� X 3 (case m <br /> volue) = Estimatedm <br /> Purge Volue: •�� Lga�L+ <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: (Disposable Bailer <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: Other: <br /> Starting Time: <br /> Weather Conditions: <br /> Sampling Time: '.� rO Water Color: CL0gD Odor! 0 <br /> Purging Flow Rate: Sediment Description: <br /> Did well de-water? ff yes: Time: Volume: <br /> Time Volume PH Conductivi Ttl°'� D.O. ORP Nkaiinitj► <br /> (PL) (m�L) (mV) (PPM) <br /> 1 3 --- <br /> .._ .0 s -� <br /> LABORATORY INFORMX110N <br /> SAMPLEt ID (s)- CONTAINER REFRIG. PRESERV.TYPE' LABORATORY ANALYSES <br /> 5 x V VR -4t A t~ "C-U vol a4 M t0 <br /> COMMENTS: <br /> • sny�rw�.Mn <br />