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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ 7`c?SGG <br /> oacillty # _-5 �� Job#: 1 G' 13 �- <br /> 13i 1 41d R4 ref —( / <br /> _ Address: ��.� - Date: f 1 - - - - <br /> City: - 'S7��±e ti=n -- Sampler: <br /> Well ID �!�— �` Well Condition <br /> Well Diameter *+. HydrocarbonAmount Bailed <br /> �4 V 7i Thickness --- �rL (product/water) <br /> Total Depth L� G, fr. Volul2lG 2"=0 17 3" =038 4" = 0 66 <br /> Depth to Water `� f ! fr- factor(VF) 6" = 1s0 12"= 5 80 <br /> 1 (4 3 X VF , _ X 3 (case volume) = Estimated Purge Volume <br /> Purge Disposable Bailer Sampling <br /> Equipment Bailer Equipment- Disposs2az erF ilei, <br /> Stacie Bai <br /> ' Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time Weather Conditions C� <br /> Sampling Time — 3 Water Color _ C h� Odor n <br /> Purging Flow Hate rprn Sediment Description <br /> Did well de-water? � If yes, Time Volume <br /> Tune Volume PH Conductivity Temperature D O ORP Alkalinity <br /> (gal) µmhoskmu6 o -/r (mSIL) (mv) (PPM) <br /> ? <br /> LABORATORY INFORMATION <br /> SAMPLE 10 (*) - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> M t,/— 2 3 V1^'4 y .Y-C/ 5 e �� TPffG Bre-X/�TE3� <br /> z Vai A 9z6066 4x C'1"-4' <br /> 1 i l 4,, cr TSD <br /> . COMMENTS <br /> 9A7 Midas f"n <br /> 4 <br />