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L is <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility # sg_96 Job#• 1'90 13 <br /> _ Address: 7-461 OKI 1111 ro,� Date: __�_ 9 9 <br /> City: S Ad Sampler: 4�4� <br /> 49 <br /> Well ID Well Condition 1p&:2 ) <br /> Well Diameter Hydrocarbon Amount Bailed <br /> Thickness in- {product/water) <br /> Total Depth 3 <br /> Volume 2" - O 17 3"=038 4'- 0 66 <br /> Factor(VF) 6'- 1S0 12" = 5 80 <br /> Depth to Water ____ � 9`) �. <br /> j X VF �•j - 3 f_ F X 3 (case volume) = Estimated Purge Volume 9gp+1 <br /> Purge Disposable Bailer Sampling <br /> Equipment. Bailer EquipmentDisposabT irT <br /> Stack Ba, <br /> u� Pressure Bader <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time Weather Conditions <br /> Sampling Time r r' Water Calor &ALcL3_ Odor <br /> Purging Flow Rate Sediment Description <br /> Did well de-water? 1t_� If yes, Time Volume r„a,i <br /> Time Volume pH Conductnnty Temperature D O ORP Alkaliauty <br /> (gal) gmhos/cxnUe, °Sze`' (m8/-) (mV) (ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE ID {#)- CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> Jt-f W— 3 VC.4 <br /> TPff T BTE X/I 1713E <br /> r iia A � $Z6o66 6xV a,-,P <br /> ! i l4,, c r '-t `Z T D <br /> COMMENTS <br /> l/97 MId.6fmr <br />