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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ 70SCIC <br /> 11017acility Job#: 110 <br /> - Address: ra- Date: _�LLL9 9 <br /> City: --�f�e _ Sampler: <br /> Well 1D /�"I ftir� Well ConditionWell Diameter -- Hydrocarbon <br /> Amount Bailed <br /> Total Depth �.� <br /> Z- <br /> -1 Thickness _ � an� iproductlwater) _ CLQ{ fnni + <br /> Volume 2. -0 17 3' = 0-33 -V = 0 66 <br /> Depth to Water o ft Factor(Ne-} 6' = 1-50 12"= 5 90 <br /> t E 'r X VF LI-1 =3 � X 3 (case valume) = Estimated PUT-.0 VOILMe <br /> d'�=r <br /> Pt.rge Disposable Baler Sampling <br /> Equipment. Bailer EgwpmentD�sposae aiteT <br /> Stack Bay <br /> Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time ' �L _ 33 Weaz-ier Conditions <br /> Sampling Time Wa,_r Color _ 6zc-� odor <br /> Purging Flow Rate ,gym Sediment Description <br /> Did well de-water? .ted If yes, Time Volume (CAI I <br /> • Tune Volume PH Conducuvtcv Te-nperature D O ORP AUW ry <br /> ($a) unthos/cnU n '�z jr-`-' (mg/L) (mv) (PPM) <br /> z ; 76 <br /> LABORATORY 1NFORMA-17ON <br /> SAMPLE 10 (4) - CONTAINER REFRIG PRESERV TYPE LABCRATCRY ANALYSES <br /> �4 r v _g D 3 VCA Y WC 1 s 7Ph�6BT&-X/1`?T13E <br /> Z ��A r, r 8z603C6 Ox <br /> COMMENTS <br /> • an7 n.a..Imo„ <br />