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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client) c�e-V�`O rl �] &a. 4,Co 3 <br /> Facility Job#: <br /> Address: <br /> . Date: -Z/./0,0 <br /> City: <br /> Sampler: rro•. �r*�v ' <br /> Well ID <br /> M W Z Well Condition: OK <br /> Well Diameter Hydrocarbon -t7-- Amount Bailed _ <br /> c Thickness: ; ductf+nr&W: <br /> Total Depth ' IL Volume 2.0 0.17 r a 0.38 4' a 0.66 <br /> 347 • 1 v Factor(VF) 6" 1 SO 12" =5.80 <br /> Depth to Water <br /> X VF �_ �° l• X 3(case volume) a Estimated PuMe Volume' <br /> Purgeer Sampling <br /> isposable <br /> Equipment: - Equipment: so to <br /> Stack ieal � <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other- Other: <br /> Starting Time: R / Weather Conditions: <br /> Sampling Time: 5'' Z`t Water Color: Odor: <br /> Purging Row Rate: Sediment Description: a%z <br /> d <br /> Did well de-water? if yes; Time: Volume: <br /> Tient Volume pH Conduc"ty Tpnperature D.O. ORP Alkalinity <br /> OF (mV) (PPM)- <br /> wig Ub k9l. <br /> 3 <br /> 9 :-t3 3.- C, ,b tZ- �-- <br /> LABORATORY INFORMATION <br /> SAMPLE ID (8)- 'CONTAINER REPRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> MW- Z VOAV I AL Y 11C L <br /> SEQUOIA TPHIGilbtaxlmtbO <br /> COMMENTS: <br /> an�aut� <br />